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ZDemo-Vikand Medical Guest Questionnaire upload portal

Click here to access the ZDemo Medical Screening Form & Certificate


Choose the Vessel and Sail Date of your voyage

Vessel 1 202x-01-03
Vessel 2 202x-01-15


Vessel 1 202x-02-01
Vessel 2 202x-02-15

© 2022 Vikand Solutions, LLC. | Privacy Notice

 

By clicking on the I AGREE & GIVE MY CONSENT button, I agree with the statements below and consent that my personal information is used as indicated in the Guest Questionnaire Privacy Policy:

I have read the Guest Questionnaire Privacy Policy and consent to the collection, use, sharing, and storage of my guest questionnaire for the purpose of review prior to embarkation. By submitting the guest questionnaire, I agree that my data is recorded and processed for the purpose of review prior to embarkation at Vikand Medical Solutions until the end of the voyage or up to 7 years if medical assistance is given.

This consent can be withdrawn at anytime by submitting a written request to info@vikand.com.

By clicking on the I DISAGREE button, applicant does not consent to access to their personal information and will not continue further with the guest questionnaire upload.

I AGREE & GIVE MY CONSENT I DISAGREE

 

If you have completed all sections of the Form as a hardcopy or PDF, click here to upload:

Upload All Sections Together

PLEASE DO NOT USE THE ABOVE FUNCTION IF YOU HAVE ALREADY COMPLETED THE CREW MEMBER SECTION OF THE FORM ONLINE

 

If you have already completed the Crew Member Section of the Form online, please select one of the following options

Upload Doctor Section & Certificate

Upload Certificate Only

 

 

If you have completed both sections of the Form as a hardcopy or PDF, click here to upload:

Upload Both Sections

PLEASE DO NOT USE THE ABOVE FUNCTION IF YOU HAVE ALREADY COMPLETED THE GUEST SECTION OF THE FORM ONLINE

 

If you have already completed the Guest Section of the Form online, and you only wish to upload a PDF of the Doctor Section, click here:

Upload Doctor Section

 

 

如果您已经在线完成了客人部分的表格,并且只想上传医生部分的PDF,请点击这里:

上传医生部分

上传医生部分 如果您以纸质、PDF或Scrive的形式完成了表格的两部分,请点击这里上传:

上传两个部分

如果您已经在本网站完成了客人部分的表格,请不要使用上述功能。

 

 

If you have already completed the Guest Section of the Form online, and you only wish to upload a PDF of the Doctor Section, click here:

Upload Doctor Section

If you have completed both sections of the Form as a hardcopy or PDF, click here to upload:

Upload Both Sections

PLEASE DO NOT USE THE ABOVE LINK IF YOU HAVE ALREADY COMPLETED THE GUEST SECTION OF THE FORM ONLINE

 

 

If you have already completed the Guest Section of the Form online, and you only wish to upload a PDF of the Doctor Section, click here:

Upload Doctor Section

If you have completed both sections of the Form as a hardcopy, PDF, or on Scrive, click here to upload:

Upload Both Sections

PLEASE DO NOT USE THE ABOVE LINK IF YOU HAVE ALREADY COMPLETED THE GUEST SECTION OF THE FORM ON THIS WEBSITE.

 

 

Wenn Sie den Gastabschnitt des Formulars bereits online ausgefüllt haben und nur die PDF-Datei des Arztabschnitts hochladen möchten, klicken Sie hier:

Laden Sie den Arztabschnitt hoch

Wenn Sie beide Abschnitte des Formulars als Ausdruck, PDF-Datei oder auf Scrive ausgefüllt haben, klicken Sie hier, um es hochzuladen:

Laden Sie beide Abschnitte hoch

BITTE VERWENDEN SIE DIE OBENSTEHENDE FUNKTION NICHT, WENN SIE DEN GÄSTEABSCHNITT DES FORMULARS AUF DIESER WEBSITE BEREITS AUSGEFÜLLT HABEN.

 

 

Si vous avez déjà rempli la section passager du formulaire en ligne et souhaitez seulement télécharger un fichier pdf de la section du médecin, cliquez ci-dessous

Télécharger la section du médecin

Si vous avez rempli les deux sections du formulaire en version papier ou PDF ou sur Scrive, cliquer ci-dessous pour le télécharger:

Télécharger les deux sections

Veuillez ne pas utiliser la fonction ci-dessus si vous avez déjà remplie la section passager du formulaire sur notre site internet.

 

 

If you have completed both sections of the Form as a hardcopy or PDF, click here to upload:

Upload Both Sections

PLEASE DO NOT USE THE ABOVE FUNCTION IF YOU HAVE ALREADY COMPLETED THE GUEST SECTION OF THE FORM ONLINE

 

If you have already completed the Guest Section of the Form online, and you only wish to upload a PDF of the Doctor Section, click here:

Upload Doctor Section

 

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