COVID TESTING
03/06/2021 — 03/07/2021

THIS FORM MUST BE FILLED OUT SHOULD YOU REQUIRE A COVID 19 PCR TEST ON THE 6TH OR 7TH OF MARCH IN ORDER TO RETURN HOME.

THIS FORM WILL CLOSE THE 2ND OF MARCH.

Driver Reference Code (if available)

First Name

Surname

Nationality

ID or Passport Number

Living Address

Country of residence

Date of Birth

Fee

-- select a class --

Driver Package

-- select a class --

Total

n / a

RGMMC are not responsible for any lost or damaged test results. By filling out this form you agree to this.

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