Monkeypox Registration Certificate
To protect your health, your family, and others, FDRE Ministry of Health, Ethiopian Public Health Institute (EPHI) requires you to complete this form before boarding and present the hard/soft copy of the certificate/QR code or google form response summary to the health desk at arrival. Your information will be held confidential and used only for public health purposes.
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Email *
Last Name *
First Name *
Flight Number
Seat Number
Age *
 Sex
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Nationality *
Passport No.
Country of Residence *
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