HEALTH DEclaration

This includes: Staying in the same close environment (workplace, classroom, household, gatherings); Providing direct care without proper personal protective equipment; or Traveling together in close proximity (1 meter) in any kind of conveyance.

Kasama dito ng mga sumusunod: Nananatili sa iisang kapaligiran (trabaho, silid-aralan, pamamahay, pagtitipon); Nagbibigay ng pangagalaga sa maysakit nang walang suot na tamang “personal protective equipment;” o Nakasamang magbyahe ng malapitan (1 metro) sa anumang uri ng sasakyan.

I hereby authorize ELAIA GREEN VEHICLES CORPORATION to collect and process the data indicated herein for the purpose of effecting control of the COVID-19 infection. I understand that my personal information is protected by RA 10173 (Data Privacy Act of 2012), and that I am required by RA 11469 (Bayanihan to Heal as One Act) to provide truthful information.

(Pinahihintulutan ko ang ELAIA GREEN VEHICLES CORPORATION na mangolekta at magproseso ng mga datos na nakasaad dito para ipatupad ang pagkontrol ng pagkalat ng impeksyion ng COVID-19. Nauunawaan ko na ang aking mga impormasyong personal ay protektado ng RA 10173 (Data Privacy Act of 2012), at sa ilalim ng batas na RA 11469 (Bayanihan to Heal as One Act) ako ay kailangang magbigay ng totoong impormasyon.

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