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Workpermit Checkup Form

Home ‣ Workpermit Checkup Form
 

Opening Hours

MONDAY – SATURDAY 8:00 AM – 6:00 PM

(*You can Check-in: Morning 7:45 am – 10:30 am; Afternoon 12:45 pm – 15:30pm)

CLOSE SUNDAY – PUBLIC HOLIDAYS

Address

Room B103, m plaza, 39 Le Duan street,
Ben Nghe ward, District 1, HCMC.

Hotline028 3521 0170

Workpermit Checkup Form * is required fields

    ■Work permit health check appointment form

    Name *

    Sex *

    Birthday *

    Phone number *

    Mail address *

    Company name

    Company address

    TAX number

    Desired reservation date and time *

    　Month * ： Day： Time：

    　Month： Day： Time：

    　Month： Day： Time：

    Remarks column

    ▼Essential belongings

    1. Passport (original or copy)
    2. 3 ID photos (H*W=4cm*6cm)
    3. Medications you are taking (if any)

    ▼Precautions

    ・On the day of the event, a blood test for fasting blood glucose is included, so please fast for at least 10 hours.

    Did you check the essential belongings and precautions?

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