INRB

Travellers Registration Form

Personal Info

Please tick if permanent address is same as staying address

Travel Details

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Upload Documents

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TRAVELLER HEALTH INFORMATIONS During the last 14 days

Have you had any of the following symptoms:

Cold

Fever ? 38°C

Persistant Cough

Intense Fatigue

Diarrhea

unexplained bleeding

headache

muscles and or joint pain

vomiting

hard breathing

abdominales Chest, abdominal pain

Did you participate in festival or mass gathering ?

Have you visited, consulted (on an outpatient basis or been hospitalized in a health in the last 14 days before your departure?

Did you visit a live animal market in the last 14 days ?

Did you have close contact (less than 1 meters with a confirmed or suspect COVID-19 case ?

Have you visited a traditional healer in the last 14 days ?

If you are you a healthcare professional who has treated patients with COVID-19 on work with laboratory sample from COVID patient, Did you applied correctly individual protectives measures ?

I declare on my honor that the information provided is true and correct, and that a false declaration is liable to prosecution before the competent courts. (Art.124-127, code Penal).

I hereby declare/promise that on arrival by doing this registration I will pay $45.00 in any Airport of Democratic Republic of the Congo.