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19 11 LOGOUT 1 GENERAL INFORMATION Steps to follow Check-in Dominican Republic Accept the terms PUBLIC HEALTH? MIGRATORY INFORMATION REPUBLICA DOMINICANA SALUD PUBLICA Fields marked with a red asterisk are required (") COUNTRIES VISITED IN THE LAST 30 DAYS i Accept Terms 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 SPECIFY ONSET OF SYMPTOMS mm/dd/yyyy D 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. 4 CUSTOMS INFORMATION- PUBLIC HEALTH Muscle pain Cough Fatigue GOBERNO DE LA 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. PHONE NUMBER 786-804-8612 OK Cancel PREVIOUS STEP SUBMIT Ministerio de Turismo REPÚBLICA DOMINICANA

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