新冠肺炎曾确诊人员健康监测承诺书.docx

新冠肺炎曾确诊人员健康监测承诺书HealthMonitoringCommitment姓名(name)护照号码(PaSSPOrtNo.)本人于年月日,确诊感染新冠(核酸阳性)。经隔离、治疗，已于年月日康复。IwasinfectedwithCovid19(nucleicacidpositive)on(MM)(DD)(YY).Andreveredon(MM)_(DD)(YY).本人拟搭乘年月日直航航班赴华。至登机前,本人已进行6个星期的健康监测。健康监测期间体温正常，无发热、乏力、呼吸不适等症状。IwilltakeadirectflighttoChinaon(MM)(DD)(YY).Beforeboardingtheplane,Ihadundergonehealthmonitoringfor6weeks.Duringthehealthmonitoringperiod,mytemperaturewasnormal,andtherewerenosymptomssuchasfever,fatigue,andrespiratorydismfort.本人保证以上填写信息真实、准确、完整，并已完全知悉我将承担瞒报的法律后果。Iherebydeclarethattheinformationprovidedistrue,aurateandmplete,andIamawareofthelegalnsequencesincaseofpartialorfalsedisclosures.承诺人签名(SignatUre):日期(date):