First name (required)

Surname (required)

Email (required)

Mobile (required)

Visitor type (required)
Mecone staffMecone meeting attendeeMecone guestQMS Media staffQMS Media meeting attendeeQMS Media guestContractor

Please confirm the following:

I have not travelled overseas in the last 14 days.

I have not been in contact with a person with a confirmed case of COVID-19 in the last 14 days.

I am not currently suffering from any flu-like symptoms, including, but not limited to, fever, cough, runny nose, shortness of breath & other symptoms.

If you cannot confirm all of the above, please remove yourself from the premises immediately and seek medical attention, or follow appropriate isolation procedures as provided by NSW Department of Health.