Affidavit (solemn declaration)

on non – quarantine and

about the absence of symptoms of viral infectious disease



I (name and surname) ________________________________________________________,

ISIC number __________________________________,

declare that:
 1. I am not currently ordered quarantine measures,
 2. I do not show any symptoms of viral infectious disease (e.g. fever, cough, shortness of breath,
sudden loss of taste and smell, etc.) in the last two weeks.


I provide this solemn declaration for the period of participation in the subject Biological and
Geological Field Practice accredited at the Department of Biology, Faculty of Education, Masaryk
University.



I am aware of the legal consequences if this statement is not true.


On (date) _________________                                             ___________________________


                Signature