Mandatory Health Declaration Form

Select a hotel *

Reservation Confirmation No.

Name with initials *

Nationality *

Date of birth

Passport/ID number *

Passport copy (jpeg OR PDF)

PCR report copy (jpeg OR PDF)

(Total size of your passport copy & PCR report copy attachments should be less than 6Mb)

Permanent address

Contact number * (With country code)

Email address *

Arrival airport in Maldives

MLE, Airport

Flight no (arrival to MLE)

Period of stay (Months/Days)

Previous place of stay

Country of origin *

Transit countries during current travel

Countries you have visited in the last 14 days

Have you had close contact with anyone who were suspected or confirmed with COVID-19 in the last 14-days?

Yes

No

You have any of the following symptoms, please mark

Fever

Sore Throat

Cough

Headache

Vomiting

Shortness of Breath

Muscle/Joint Pain

Diarreha

Other

Recorded temperature at Check-In °C

Name with initials (1)

Age

Temp. at Check-In °C

Name with initials (2)

Age

Temp. at Check-In °C

Name with initials (3)

Age

Temp. at Check-In °C

Name with initials (4)

Age

Temp. at Check-In °C

Permanent address (IF different from parent /guardian please mention with initial)

Have they had close contact with anyone who were suspected or confirmed with COVID-19 in the last 14-days?

Yes

No

If any of the junior guests have any of the following symptoms, please mark with initials of child

Fever

Sore Throat

Cough

Headache

Vomiting

Shortness of Breath

Muscle/Joint Pain

Diarreha

Other

I/we declare the above-mentioned information is provided by me as a responsible traveller and is true and correct. By signing this document, I/we confirm that I/we have read over and understood my personal responsibility towards my fellow travellers and the resort staff.

Further to my confirmations as above, I hereby declare the following: I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID-19.

As a responsible citizen/s, I/we agree to adhere to the health and safety guidelines and initiatives in place at the resort and maintain necessary decorum. I agree to inform the resort immediately in case I/my child/ren develop any symptoms of COVID-19. In the event of showing suspected COVID-19 symptoms, we/I will follow Governmental instructions and/or guidelines adhered by the local/national health bodies. I am/We are willing to adhere to isolation procedures at the hotel/resort and undergo a PCR test at my/our expense. In the interim period – between isolation, pending test results – I/we agree to a limited F&B offering and service, whilst being confined to the isolation room.

I am/we are willing to be transferred to a Government-run quarantine centre or undergo hospitalization in the event a PCR test confirms a positive result. We/I agree to bear all expenses in relation to transfers as stipulated by the health authorities and accommodation at the quarantine centre. In such a situation, I/we agree the resort will only refund for the nights which will not be spent at the resort.

With full knowledge of the risks involved, I hereby release, waive, discharge the Resort and its Owning Company its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 whileparticipating in any activity while in, on, or around the Resort or while using the facilities therein that may lead to unintentional exposure or harm due to COVID-19.

By signing below, I acknowledge that I have read the foregoing and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have received the Resort “Covid-19 Guidelines”.

I/we confirm that I/we have agree with the terms & conditions *

Yes

No