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ublic health ur oses. 1) Traveller Information: First Name(s): Last Name(s): Date of Birth (dd/mm/yyyy): Travel document No. & issuing country: Country of residence: Port of Origin: 2) During the past 14 days, have you, or a member of your group travelling with you, had

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KM 454e-20200218131303

mauritiusnow.com

Public Health Passenger Locator Form: To protect your health, public health officers need you to complete this form wheneverthey suspect a communicable disease on-board a flight. Your information will help public health officers to contact you if you were exposed to a mmmunicable disease. It is to fill out this fom completely and accurately.

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