BASAHIN MUNA BAGO MAGSUBMIT NG DETALYE

In compliance with the National IATF-EID, Provincial EO 2021-28 (with amendments) in preventing and controlling the spread of Covid-19, ALL INDIVIDUALS TRAVELLING TO LEZO from outside the Western Visayas (Region VI) are required to secure a NOTICE OF COORDINATION/ACCEPTANCE from Municipality of Lezo.

Ang request sa Notice of Coordination/Acceptance ay dapat gawin at least 2 araw bago ang schedule ng byahe.

Matapos matanggap ang Acceptance sundin ang iba pang mga kinakailangang ipasang dokumento sa Probinsya ng Aklan para sa issuance ng OHDC:

https://lezo.gov.ph/mga-proseso-ng-pag-uwi-sa-bayan-ng-lezo-aklan/

Please be reminded that the LGU Lezo is only responsible in the issuance of Notice of Acceptance and the Province of Aklan is the one approving the Authority to Travel.

Saan ka galing? Please specify City/Municipality and Province.

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Dapat eto ay gumagana. Dito pinapadala ang kopya ng Notice of Coordination. Please check your SPAM box in case no email was received. Expect email response within a day after submission.

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Petsa ng pagbyahe papuntang Aklan. Pwedeng magsumite ng estimated date kung hindi pa available ang ticket.

If traveler is not a resident of Lezo, Aklan. Please state your purpose of visiting Lezo. If a traveler is a returning resident please indicate that you are going home.

Please choose the appropriate barangay where you reside/destination.

Please submit a scan/photo of a VALID GOVERNMENT ID.

I, under on oath, depose and say; THAT:
The information given in this form is true, complete and accurate. I am fully aware that I can be held criminally liable for any misdeclaration or intentional omission made herein, pursuant to Republic Act No. 11332 or the "Mandatory Reporting of Notifiable Diseases and Health Events of Public Concern Act" and other applicable laws and regulations.
I hereby authorize the Municipality of Lezo, to collect and process the data indicated herein for the purpose of effecting control of the CoVID-19 infection. I understand that my personal information is protected by R.A. 10173, Data Privacy Act of 2012, and that I am required by R.A. 11469, Bayanihan to Heal as Once Act, to provide truthful information.
I hereby attest that all the information stated in this application are are true and correct based on my personal knowledge. I am fully aware that I can be subject to disciplinany action for any misrepresentation on my part.