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Registratie contactgegevens

In connection with possible source and contact research by the GGD (Dutch health authority), we request that you fill in the information below. Your data will be stored by us for 14 days and will then be destroyed.

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Covid contact details *
Covid health check questions *
I hereby consent that my data will only be shared with the GDD for source and contact research. Your data will be destroyed after 14 days.