Ministry of Defence. DECLARATION ON HONOUR APPLICATION TO ENTER MILITARY BARRACKS (To be presented upon entry) The undersigned applicant: Full official name:………………………………………………………………………….. Address:…………………………………………………………………………………… Postcode:…………………. . Telephone or cell phone Country:…………………………………………………… . number:…………………………………………………………….. YES NO Declares to have presented no symptoms of COVID-19 since at least seven (7) days prior to the arrival in Belgium ☐ ☐ Declares to not have been directly exposed to someone who is suspected of or diagnosed with COVID-19 in the last 14 days prior to the arrival in Belgium ☐ ☐ The General Measures issued by the Federal Government are to be applied with at all times. They can be found on the official information website: In addition there is a strict adherence to the basic rules of social distancing (face masks if not possible), strict hand hygiene, … Desired (BEL) military barracks to enter ……………………………………………………… ……………………………………………………… Desired date of entry Date of exit. …………………………………….……… …………………………………………… Place Date (dd/mm/yyyy) Applicants signature
Ministry of Defence. DECLARATION ON HONOUR APPLICATION TO ENTER MILITARY BARRACKS (To be presented upon entry)