Full Name * email * Phone number * ID/ Passport No. * Campus * - בחר - Mount Scopus Edmond J. Safra Campus Ein Karem RehovotVeterinary HospitalEilat HU Staff/student or external individual * - בחר - HU Staff/student external individual Body heat correct? * Yes I declare that I conducted a body heat measurement test today, which found that my body temperature does not exceed 38 degrees Celsius, and I do not cough and have no breathing difficulties (except cough or difficulty breathing due to chronic condition) confirm * confirm שלח