Health Declaration Form - Bangladesh Health Card
This document is a Health Declaration Form required by the Government of Bangladesh for passengers entering the country. It collects essential health information for contact tracing in case of illness. Fill out the form accurately to ensure compliance with health regulations.
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How do I fill this out?
To fill out the Health Declaration Form, start by providing your personal information such as name, age, and nationality. Next, indicate your travel details including flight number and date of arrival. Finally, ensure that you check any symptoms you may have experienced recently.

How to fill out the Health Declaration Form - Bangladesh Health Card?
1
Collect your personal and travel information.
2
Fill in the required fields including symptoms experienced.
3
Double-check all entries for accuracy.
4
Sign the form to confirm the information is correct.
5
Submit the form as instructed.
Who needs the Health Declaration Form - Bangladesh Health Card?
1
International travelers entering Bangladesh must fill out this form.
2
Airlines may require the form for boarding procedures.
3
Immigration authorities will need the form for health screening.
4
Health officers will use the information for contact tracing.
5
Anyone experiencing symptoms of illness must declare them.
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Upload the Health Declaration Form to PrintFriendly.
2
Use the editing tools to fill in your information.
3
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4
Add your signature to authenticate the document.
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Download the edited form for submission.

What are the instructions for submitting this form?
To submit the Health Declaration Form, complete all sections accurately and print the document. You may need to present the form at the immigration or health screening desk upon your arrival in Bangladesh. Ensure to keep a copy for your records and consult with your airline regarding any specific submission requirements.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 include regular updates provided by the Government of Bangladesh. Various international travel guidelines may affect submission timelines. Ensure to check frequently for any changes.

What is the purpose of this form?
The purpose of this form is to ensure that all international travelers entering Bangladesh disclose their health status. It acts as a preventive measure for public health by allowing authorities to track potential health risks. By filling out this form, travelers contribute to collective efforts to combat health threats.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The full name of the individual filling out the form.
- 2. Age: The age of the individual.
- 3. Sex: Gender information.
- 4. Nationality: Country of citizenship.
- 5. Passport No: Passport identification number.
- 6. Flight/Vehicle No: The flight or vehicle number of the traveler.
- 7. Date of Arrival: When the traveler is entering Bangladesh.
- 8. Date of Departure: Planned departure date from Bangladesh.
- 9. Countries visited: List of countries visited in the last 14 days.
- 10. Symptoms: Any health symptoms experienced by the traveler.
- 11. Contact Information: Phone number and address in Bangladesh.
- 12. Signature: Affirmation of accuracy of provided information.
What happens if I fail to submit this form?
Failure to submit this form may result in complications at the entry point into Bangladesh. Travelers could be subjected to additional health screenings or denied entry altogether. It is crucial to comply with this requirement to ensure a smooth arrival process.
- Health Screening Delays: Not submitting may lead to lengthy health verification processes.
- Legal Penalties: Providing false information could result in legal consequences.
- Entry Denial: Failure to submit may result in inability to enter the country.
How do I know when to use this form?

- 1. For International Travelers: Required for all passengers entering Bangladesh.
- 2. For Airlines: Airlines may require this for boarding.
- 3. For Health Authorities: Used for health tracking upon entry.
Frequently Asked Questions
How do I fill out the health declaration form?
Start by entering your personal and travel details, then check for any symptoms experienced.
Who needs to fill out this form?
Any passengers entering Bangladesh from abroad are required to fill out this form.
Can I edit the PDF after filling it out?
Yes, you can edit your PDF using PrintFriendly's editing tools before finalizing it.
How do I submit the form?
You can print the form and submit it at the relevant health screening desk upon arrival.
Is the information I provide confidential?
Yes, all information is kept confidential and used only for health tracking purposes.
What if I do not have symptoms?
You should still fill out the form to ensure compliance with health regulations.
Can I share this form with others?
Yes, PrintFriendly allows you to share your PDF easily via email or social media.
What happens if I submit incorrect information?
Providing false information may result in denial of entry or other legal consequences.
How do I sign the PDF?
Use the signature tool in PrintFriendly to add your digital signature.
Are there deadlines for submitting this form?
It should be submitted prior to your arrival in Bangladesh.
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