Leather.PH Online Contact Tracing Form

Contact Tracing Form

The safety of our people remains as the top priority of Leather Nation and Leather.PH. As the outbreak of Coronavirus Disease 2019 (COVID-19) continues, it is incumbent upon all of us to remain vigilant in preventing its spread and reduce the potential risk of exposure of everyone in their workplace found within the confines of our company. Please answer this form to help us take the necessary precautionary measures to protect you and our community.

Personal Details

Health Questionnaire

Certification and Data Privacy

I certify that the information I have provided is true, correct and complete. I understand that I am required by RA No. 11469 (Bayanihan to Heal as One Act) to provide truthful information, and that my failure to completely answer or provide the correct information may be a ground for the filing of appropriate cases against me under the law. I hereby give my full consent to collect, record, and process information, whether personal, sensitive or privileged, pertaining to myself for the purpose of drafting and implementing policies related to the prevention and/or containment of COVID-19. In this connection, I acknowledge that I have read, understood and/or have been duly informed of the terms and conditions pertaining to the data privacy practices of the Company as reflected in the Company’s Data Privacy Policy at www.leather.ph/privacy and I hereby express my full conformity thereto.
Signature is required.
Please sign this form by scribbling your signature on the area above.