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1. Declarant Information: Personal details of the individual making the declaration including full name, identification number, and contact information
2. Declaration Purpose: Clear statement of the purpose for which this health declaration is being made (e.g., employment, travel, facility access)
3. Health Status Declaration: Current health condition, symptoms, and relevant medical history as required for the specific purpose
4. Consent and Data Protection: Express consent for data collection and processing, including acknowledgment of PDPA 2010 requirements
5. Declaration of Truth: Legal statement confirming the truthfulness of provided information and understanding of consequences for false declarations
6. Electronic Signature: Section for electronic signature and timestamp in compliance with Digital Signature Act 1997
1. Travel History: Details of recent travel history when required for public health monitoring
2. Close Contact Declaration: Information about contact with confirmed cases of infectious diseases
3. Vaccination Status: Details of relevant vaccinations when required for specific purposes
4. Specific Medical Conditions: Detailed section for declaring particular medical conditions relevant to the purpose
5. Risk Factor Assessment: Additional questions about potential risk factors specific to the purpose
6. Emergency Contact Information: Contact details for emergency situations, required for certain institutional purposes
1. Schedule A: Symptoms Checklist: Detailed checklist of relevant symptoms to be declared
2. Schedule B: Privacy Notice: Detailed privacy notice explaining how the health data will be collected, processed, and protected
3. Schedule C: Declaration Guidelines: Guidelines for completing the declaration accurately
4. Appendix 1: Relevant Medical Conditions: List of medical conditions that must be declared
5. Appendix 2: Data Processing Consent Form: Detailed consent form for data processing as required by PDPA 2010
6. Appendix 3: Supporting Documents Checklist: List of required supporting documents (e.g., test results, vaccination certificates)
Declaration
Personal Data
Sensitive Personal Data
Health Information
Medical Condition
Close Contact
Electronic Signature
Healthcare Provider
Identity Card
Consent
Data Controller
Data Processor
Digital Certificate
Health Status
Medical History
Privacy Notice
Supporting Documentation
Symptoms
Vaccination Record
Witness
Health Status Declaration
Data Protection
Consent
Electronic Signature
Privacy Notice
Declaration of Truth
Medical History
Information Accuracy
Data Processing
Confidentiality
Record Keeping
Legal Compliance
Document Validity
Information Update
Declaration Purpose
Supporting Documentation
Verification Rights
False Declaration
Emergency Contact
Healthcare
Education
Manufacturing
Hospitality
Transportation
Aviation
Maritime
Corporate Offices
Government Services
Retail
Sports and Recreation
Entertainment
Food and Beverage
Construction
Human Resources
Legal
Compliance
Health and Safety
Operations
Administration
Security
Risk Management
Quality Assurance
Occupational Health
Information Technology
Data Protection
Human Resources Director
Compliance Officer
Health and Safety Manager
Facility Manager
Operations Director
Legal Counsel
Data Protection Officer
Occupational Health Officer
Risk Manager
Employee Relations Manager
Corporate Secretary
Quality Assurance Manager
Administrative Manager
Medical Officer
Security Manager
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