健康状况声明书
Health Declaration Form
本人（姓名： ，护照号： ）承诺，过去14日内无以下情况：
I (Full name: , Passport number: ) herebytenderness什么意思 declare that I have had none of the following situations in the 14 days immediately preceding the date on this Health Declaration Form:
1.被医疗机构确诊为新冠肺炎或疑似病例；
1. Being confirmed or suspected of COVID-19 infection by any medical institution;
2.出现发热（37.3℃及以上）或呼吸道症状；成人高考有哪几种形式
2. Running a fever at or above 37.3ºC or showing respiratory symptoms;
3.接触新冠肺炎确诊或疑似病例；
3. Coming into contact with confirmed or suspected COVID-19 cas;
4.接触有发热或呼吸道症状的患者；
4. Coming into contact with patients with a fever or respiratory symptoms;
5.所居住的社区或宾馆报告有新冠肺炎确诊或疑似病例；
5. Staying in a community or hotel reporting confirmed or suspected COVID-19 cas;
6.所在办公室或家庭等有2人及以上出现发热或呼吸道症状；
6. At least two persons in my office or family running a fever or showing respiratory symptoms;
7.服用退烧药、感冒药；
7. Taking medicine for fever or cold;
诗句填空8.在无防护措施（如未佩戴口罩等）的情况下去过医院、剧院、餐厅、娱乐场所等公共场
所或参加过聚集性活动。
tend8. Visiting public spaces like hospitals, theaters, restaurants and leisure facilities or taking part in group activities without taking protective measures like wearing a mask.
本人承诺以上内容及提供的核酸检测阴性证明真实准确，如前往中国前出现上述情况，我将取消赴华行程。
jack nicklausI declare the truthfulness and veracity of the statements above and the COVID-19 negative certificate I have provided. If any of the above-mentioned situations happens to me before leaving for China, I farm什么意思shall cancel the trip.
本人已知悉，隐瞒本人健康状况，如引起检疫传染病传播或者有传播严重危险的，将按照中华人民共和国有关法律规定，承担相应责任。
I acknowledge and accept the responsibilities under this Declaration pursuant tolelo the relevant laws and regulations of the People’s Republic of China should I conceal any health condition that might cau the spread of quarantinable infectious dias or give
ri to rious risks of such spread.
声明人签字： 日期： 年 月 日
Signature: Date: ____ /____ /_____ (Day/Month/Year)
以下由中国使领馆领事官员填写：
To be completed by consular officers of the Chine Embassy or Consulate:
versus本馆已查验声明人所持核酸检测阴性证明（编号： ，出具日期： 年 月 日）。本健康状况声明书仅供航空公司在声明人登机前查验使用，有效期截至 年 月 日。
The Chine Embassy/Consulate has examined the COVID-19 negative certificate (No. , Issuance date: / / ) provided by the declarant. Ud for the sole purpo of pre-boarding screening by airlines, this health declaration form is valid until / / .
盖章： 英文电影观后感 日期： 恒星英语听力网
Seal: Date: / / (Day/Month/Year)
