Confirmation of Self-quarantine (E-9) > 공지사항(NOTICE)

Confirmation of Self-quarantine (E-9)

□vacation □workplace change
Name
Date of Birth(MM/DD/YYYY)
Nationality
Passport No.
Flight No.
Date of Arrival(MM/DD/YYYY)
Address in Korea
(address of quarantine residence for 14days)
* Not available for multiuse facilities for self-quranatine (such as Motel, accomodation for students, etc )




Name of Workplace
Name&Cell phone No. of employer(or protector)
Cell phone No. in Korea
Contact No.
<Note>
In response to the global COVID-19 outbreak, as of 00:00 April 1st, 2020 (arrival time), the Republic of Korea requires all inbound travelers to be subject to self-quarantine or facility quarantine.
Foreign workers with E-9 visas should complete and submit this confrimation to the government of the Republic of Korea. If the person fails to submit the agreement or do not agree with all categories below, the government may deny entry in accordance with the 『Immigration Act』, 『Quarantine Act』, etc.
<Self-quarantine> I, agree to be quarantined at “a residence in the Republic of Korea” for 14 days after entry, in accordance with Article 42 of the 『Infectious Disease Control and Prevention Act』, Article 16 of the 『Quarantine Act』, etc.
□ Agree
□ Disagree
<Departure Order> I, in compliance with the instructions of the government of the Republic of Korea, agree to fulfill 14 days of self-quarantine and agree to unconditionally abide by the government measures including departure orders, if I fail to follow through or the government judge the quarantine residence is unsuitable to stay.
□ Agree
□ Disagree

I apply the self-quarantine confirmation as I have suitable self-quarantine residence for 14days after entry.
Date of apply (MM/DD/YYYY)       
Applicant                (Signature)
0000 EPS Center
I confirm the above applicant has self-quarantine residence for 14days after entry by the employer(protector).
Date of confirm    (MM/DD/YYYY)
  Confirmor[Representative of 00 EPS Center]
 (seal)