NYSC has mandated nysc batch A, B, and C candidates to complete the NYSC NCDC Covid-19 RDT online form as a criteria and requirement for clearance in camp.
NYSC COVID-19 Test Form – NYSC NCDC Covid-19 RDT Testing Verification Slip
It is compulsory that you complete this NYSC COVID-19 Test form .
Fields marked are required
- RDT Test sample collection
- Sample Collection Centre
- NYSC Orientation Camp Community
- NYSC Callup No
Read – NYSC Timetable and Registration Update
- Person Identification Information
- Firstname(s)
- Surname
- Sex
- FEMALE
- Date of birth
- Telephone number (Mobile)
- Email
- Address of Residence
- Address
- State of residence
- LGA of residence
- Ward of residence
- Village/Landmark
- Country of residence
- Person symptoms (from disease onset)
- Have you had any of the following symptoms within the last 2 weeks.
- Fever (≥38 °C) or history of fever
- Sore throat
- Runny nose
- Cough
- Shortness of Breath
- Vomiting
- Nausea
- Diarrhea
- Tiredness
- Chest pains
- Red eyes
- Loss of taste
- Loss of smell
- Headache
- Any other symptom
- Date of first symptom onset
- Previous Covid-19 test
Have you taken Covid-19 test before?
- Human exposures in the 14 days before illness onset
- Have you returned from local travel within the last 14 days?
- Have you returned from international travel within the last 14 days?
- In the past 14 days, have you had contact with anyone with suspected or confirmed COVID-19 (corona/coronavirus)?
- In the past 14 days, have you attended any event?
- Have you visited or been admitted to any inpatient health facility?
- Have you visited any outpatient treatment facility?
- Have you visited any traditional healer?
- Behavioral
- How often do you avoid people who are sneezing or coughing since the beginning of the pandemic?
- How often do you avoid large gatherings since the beginning of the pandemic?
- How often do you avoid touching your face, mouth, eye or nose since the beginning of the pandemic?
- How often do you wash hands with soap and water since the beginning of the pandemic?
- How often do you attend or visit public places since the beginning of the pandemic?
- How often do you avoid public transportation since the beginning of the pandemic?
- How often do you avoid non-essential travel since the beginning of the pandemic?
- How often do you use alcohol-based hand sanitiser since the beginning of the pandemic?
- How often do you wear a mask outside your home since the beginning of the pandemic?
- How often do you maintain a distance of at least 1.5 meters from the person next to you since the beginning of the pandemic?
- Belief Surrounding Covid-19
- I am worried about the likelihood of getting COVID-19
- The chance of getting COVID 19 in the next few months is high
- Contracting COVID-19 is possible
- The complications of COVID-19 are serious
- I may become very sick if I get COVID-19
- COVID-19 can lead to death of an infected person
- Measures such as washing your hands frequently and wearing of face mask reduces the risk of contracting COVID-19
Read-
NYSC Documents for Married Women: NYSC Registration Requirement for all Married Women
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