Covid-19: International visitors: Past and future visits

Please provide us with details if you have received an international visitor in the past 21 days, OR plan to receive an international visitor. NWU Staff/Students must complete this form on behalf of their international guests/visitors.

Guest/Visitor Information

Full names

Surname

E-mail address

Reason for visit

Physical address whilst staying in South Africa

Traveling information

From which country

Please list all countries he/she visited since December 2019

Date of arrival in South Africa

Date of departure

Were you placed in voluntary isolation upon entering South Africa?

Do you currently experience any of the Covid-19 symptoms?

Details of person receiving the visitor/guest

Name and Surname

Cellphone number

Staff/Student number

Faculty/Department

COVID-19

Covid-19: International visitors

Covid-19: International visitors: Past and future visits