Investor Presentaiton
34
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Registration of departure from the Dominican Republic
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GENERAL INFORMATION
PUBLIC HEALTH?
MIGRATORY INFORMATION
REPUBLICA DOMINICANA
SALUD PUBLICA
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COUNTRIES VISITED IN THE LAST 30 DAYS
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DGA
ADUANAS
I declare to the competent authorities that the data
provided are true and I submit to the sanctions
established by law to check any false information.
DECLARATION OF SIGNS AND SYMPTOMS
IN THE LAST 72 HOURS HAVE YOU PRESENTED ONE OR MORE OF THE FOLLOWING SYMPTOMS?*
None
Headache
Shaking chills
Faver
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ONSET OF SYMPTOMS
mm/dd/yyyy
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Sore throat
Runny nose
Breathing difficulty
GOBIERNO DE LA
REPÚBLICA DOMINICANA
MIGRACIÓN
I declare to the competent authorities that the
information provided is true and I submit to the
penalties established by law for checking any false
information.
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CUSTOMS INFORMATION-
PUBLIC HEALTH
Muscle pain
Cough
Fatigue
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REPUBLICA DOMINICANA
SALUD PUBLICA
I declare that the information provided here is true
and I accept that the false declaration by me is
considered a violation of national health regulations.
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