HPE OBSS 2023 Departure PCR Booking

First Name*
(as per passport)

Last Name*
(as per passport)

Date of Birth*

Gender*

Male Female

Passport No*

Nationality*

Destination*

Departure Date*

Departure Flight Number*

Departure Time*(Based on GMT+7/ Bangkok Time)

Cost*

PCR Cost - USD 125
We will provide more details as we near the event date.

Email as per registration*
(For the purpose of sending of test result to you only)

Please enter a valid email as per your registration or contact hpeobss@pmgasia.com

Contact Number*
(For hospital to contact you in case of emergency)

IMPORTANT REMINDER

1) Please complete the PCR testing registration latest by 3 April 2023, Monday.

2) PCR testing will be conducted at Level 4 Carpark area. Please refer to the map below.

3) Please check and ensure the accuracy of the information entered above as it will be used for the issuance of Laboratory Report/ Test Result.

4) It is a regulation of the Thailand Medical Records Division that medical records must contain a photographic copy of the clients’ passports for identification purposes. On the day of testing, please bring along:

Your passport and allow the hospital representative to photocopy your passport; OR
A scanned copy of your passport to hand it to the hospital representative

5) The test results will be emailed to you via the email address provided in this form.

6) Test result will come in a form of Laboratory Report only. If you require Doctor’s Certificate or any other documents, please email Event Secretariat at hpeobss@pmgasia.com.

7) If you need a printed copy of your test result, please approach Marriott Marquis Concierge Desk.

8) Please check the testing window requirements of your destination country (test to be taken 24/ 48/ s72 hours before arrival) and book your appointment accordingly. We strongly encourage you to sign-up for the earlier slots in order to receive your test result in time.

PCR TESTING LOCATION

Testing will be conducted at Level 4 Carpark area

ACKNOWLEDGEMENT*

I acknowledge and agree to the following:

I will check with the local authorities of my destination country/ region on the requirements imposed on travellers departing from Thailand, including pre-departure test requirements and validity.
I understand that the usual waiting time for test result is up to 12 hours, subject to hospital lab processing time.
I understand that the Marriott Marquis will inform me of my test result via phone call to my room and email that was provided in this form.

I agree to all of the above

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HPE OBSS 2023 Departure PCR Booking

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HPE OBSS 2023 Departure PCR Booking

Hewlett Packard Enterprise International

HPE APAC, India and Japan
Outcome-Based Solutions and
Master ASE Summit 2023