Contact – Astoria Hotels and Resorts

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Connect With Us

info@astoria.com.ph
(+63 2) 8687-1111
loc 8002 and 8881

Visit Us

15 J. Escriva Drive, Astoria Plaza, Ortigas Business District, Pasig City, 1600

Rest assured that all your data will be properly secured and protected.

Temperature

Fullname

Mobile no.

Address

Age

Gender

Country of Residence

Email (please enter a valid email address)

1. Are you experiencing or have you experienced any of the following symptoms in the last 14 days?

SORE THROAT

Yes No

BODY PAINS

Yes No

HEADACHE:

Yes No

FEVER:

Yes No

COUGH:

Yes No

COLDS:

Yes No

LOSS OF SMELL AND/OR TASTE

Yes No

DIFFICULTY IN BREATHING

Yes No

2. In the last 14 days, have you worked with or stayed in the same close environment with anyone suspected of or confirmed with COVID-19?

Yes No

3. In the last 14 days, have you had close contact with anyone experiencing any COVID-19-related symptoms (e.g. fever, cough, colds, etc.)?

Yes No

4. In the last 14 days, have you travelled outside of the Philippines?

Yes No

Acceptance

By checking this, I declare that the information I have given is true, correct, and complete. I understand that failure to answer any of the questions or giving false answers can be penalized in accordance with the law.

I also hereby authorize Astoria Current to collect my data indicated herein for the purpose of effecting control of the COVID-19 infection. I understand that my personal information is protected by RA 10173, under the Data Privacy Act of 2012, and that I am required by RA 11469 or Bayanihan Heal As One Act to provide truthful information.

Moreover, I understand that this Health Declaration Form is being made pursuant to DTI and DOLE Guidelines on Workplace Prevention and Control of COVID-19.

Covid-19 Privacy Notice