If you came from abroad please provide information

If you came from abroad in the last 14 days, please fill out the form.

The data will be used only for the purpose of epidemiological surveillance of the coronavirus. Personal data are processed in strict compliance with the requirements of the European Union and the Republic of Lithuania legal acts regulating the protection of personal data.


You can also submit information by phone tel. no. +370 (8 5) 2124098
 

 

  • *

    Name

    0
  • *

    Surname

    1
  • *

    Date of birth

    2
  • *

    Nationality

    3
  • *

    Phone number

    4
  • *

    Phone number of a relative we could contact in case we receive no answer from you

    5
  • *

    Email

    6
  • *

    Country / City / State / Province

    7
  • *

    Transfer dates

    8
  • *

    How long you will be staying in Lithuania?

    9
  • *

    Place, where you will be staying in Lithuania

    10
  • *

    Do you have appropriate conditions for voluntary isolation?

    11
  • *

    Current workplace/ University

    12
  • 13
Paskutinė atnaujinimo data: 2020-04-04