Edit, Download, and Sign the Bangladesh Health Declaration Form for International Travelers
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How do I fill this out?
To fill out the form, you need to provide personal and travel details. Make sure to check any symptoms you may have experienced. Finally, sign the declaration to confirm the information's accuracy.
How to fill out the Bangladesh Health Declaration Form for International Travelers?
1
Provide your personal details including name, date of birth, and nationality.
2
Enter your passport number, flight or vehicle number, and seat number.
3
Fill in the details of your entry port, date of arrival, and departure date.
4
Tick any health symptoms you have experienced recently.
5
Sign and submit the form at the relevant desk at the port of entry.
Who needs the Bangladesh Health Declaration Form for International Travelers?
1
International travelers for entering Bangladesh and health screening.
2
Health officers for contact tracing and health monitoring.
3
Immigration officials to verify traveler information on entry.
4
Travelers showing symptoms of illness to report to health authorities.
5
Government agencies for maintaining public health records of travelers.
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1
Open the PDF file in PrintFriendly's editor.
2
Use the text tool to add or update your information.
3
Check the boxes for any symptoms you may have experienced.
4
Place your digital signature in the designated area.
5
Save and download the edited PDF.
What are the instructions for submitting this form?
Submit the completed health declaration form at the health desk or immigration desk upon arrival in Bangladesh. Ensure all personal, travel, and health information is accurately filled out. Here's our advice: Make copies of the completed form before submission for personal records and reference. Contact the health desk or immigration authorities for any further instructions regarding submissions.
What are the important dates for this form in 2024 and 2025?
This health declaration form must be submitted upon entry to Bangladesh. Check for any updated travel guidelines for 2024 and 2025 before planning your trip.
What is the purpose of this form?
The purpose of this form is to collect personal and travel details of passengers entering Bangladesh to ensure timely health screening and monitoring during the ongoing global health situation. By mandating this form, the Government of Bangladesh aims to trace potential health risks and take necessary steps to protect public health. Adhering to the guidelines helps maintain health safety for both travelers and the local population.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The full name of the traveler.
- 2. Sex: Gender of the traveler.
- 3. Date of Birth: Traveler's birth date for identification.
- 4. Nationality: Traveler's nationality as per their passport.
- 5. Passport No: The passport number issued by the traveler's country.
- 6. Flight/ Vehicle No: Number of the flight or vehicle the traveler arrived on.
- 7. Seat No: The seat number occupied by the traveler.
- 8. Port of Embarkation/Entry: Where the traveler boarded and entered the country.
- 9. Date of Arrival: The arrival date in Bangladesh.
- 10. Date of Departure: The departure date from Bangladesh.
- 11. Countries visited within last 2 weeks (if any): List of countries visited by the traveler recently.
- 12. Address in Bangladesh: Where the traveler will stay during their time in Bangladesh.
- 13. Symptoms: Check symptoms the traveler may have experienced recently.
- 14. Declaration: Signature of the traveler confirming the accuracy of provided information.
- 15. Signature of Health Officer: Signature of the health official verifying the form.
What happens if I fail to submit this form?
Failure to submit this form may result in entry denial to Bangladesh or mandatory quarantine.
- Entry Denial: You might be denied entry into the country.
- Mandatory Quarantine: You may be subjected to mandatory quarantine upon arrival.
- Legal Consequences: Non-compliance with health regulations can lead to legal actions.
- Public Health Risk: Failure to submit the form poses a risk to public health by hindering contact tracing efforts.
How do I know when to use this form?
- 1. International Travel: When you enter Bangladesh through international travel.
- 2. Health Screening: When required to undergo health screening and monitoring.
- 3. Contact Tracing: For contact tracing related to travel history and symptoms.
- 4. Public Health Safety: To ensure the safety and monitoring of public health.
- 5. Immigration Compliance: To comply with immigration and health policies on entry.
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