{"id":4498,"date":"2021-08-24T14:06:01","date_gmt":"2021-08-24T07:06:01","guid":{"rendered":"https:\/\/krsinnotech.com\/covid-19-risk-assessment-form\/"},"modified":"2021-08-24T14:48:02","modified_gmt":"2021-08-24T07:48:02","slug":"covid-19-risk-assessment-form","status":"publish","type":"page","link":"https:\/\/krsinnotech.com\/en\/covid-19-risk-assessment-form\/","title":{"rendered":"COVID-19 Risk Assessment Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4498\" class=\"elementor elementor-4498\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-66e88e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"66e88e9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-97ed7d9\" data-id=\"97ed7d9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8e6b369 elementor-widget elementor-widget-heading\" data-id=\"8e6b369\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">**Please answer the following questions as a matter of fact: If you conceal information, you are guilty under the Communicable Diseases Act B.E. 2558 (2015).<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0937d0 elementor-widget elementor-widget-text-editor\" data-id=\"e0937d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4520-o1\" lang=\"th\" dir=\"ltr\" data-wpcf7-id=\"4520\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/4498#wpcf7-f4520-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4520\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"th\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4520-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<table class=\"inquiry\">\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Enter<\/span><span>Contact person&#8217;s name<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required textsp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Enter<\/span><span>Your company name<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-company\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required textsp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"company name\" value=\"\" type=\"text\" name=\"your-company\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Enter<\/span><span>Purpose of visit KRS<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required textsp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Topic contact\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Select<\/span><span>Date coming<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-book\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-book\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Enter<\/span><span>Name of your contact in KRS<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required textsp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"your-contact\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Select<\/span><span>From province<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><select id=\"dropdown_province\" name=\"dropdown_province\" class:drop>\n <option value=\"-\">&#8211;<\/option>\n <option value=\"Krabi\">Krabi<\/option>\n <option value=\"Bangkok\">Bangkok<\/option>\n <option value=\"Kanchanaburi\">Kanchanaburi<\/option>\n <option value=\"Kalasin\">Kalasin<\/option>\n <option value=\"Kamphaeng-Phet\">Kamphaeng-Phet<\/option>\n <option value=\"Khon-Kaen\">Khon-Kaen<\/option>\n <option value=\"Chanthaburi\">Chanthaburi<\/option>\n <option value=\"Chon-Buri\">Chon-Buri<\/option>\n <option value=\"Chai-Nat\">Chai-Nat<\/option>\n <option value=\"Chaiyaphum\">Chaiyaphum<\/option>\n <option value=\"Chumphon\">Chumphon<\/option>\n <option value=\"Chiang-Rai\">Chiang-Rai<\/option>\n <option value=\"Chiang-Mai\">Chiang-Mai<\/option>\n <option value=\"Trang\">Trang<\/option>\n <option value=\"Trat\">Trat<\/option>\n <option value=\"Tak\">Tak<\/option>\n <option value=\"Nakhon-Nayo\">Nakhon-Nayo<\/option>\n <option value=\"Nakhon-Pathom\">Nakhon-Pathom<\/option>\n <option value=\"Nakhon-Phanom\">Nakhon-Phanom<\/option>\n <option value=\"Nakhon-Ratchasima\">Nakhon-Ratchasima<\/option>\n <option value=\"Nakhon-Si-Thammarat\">Nakhon-Si-Thammarat<\/option>\n <option value=\"Nakhon-Sawan\">Nakhon-Sawan<\/option>\n <option value=\"Nonthaburi\">Nonthaburi<\/option>\n <option value=\"Narathiwat\">Narathiwat<\/option>\n <option value=\"Nan\">Nan<\/option>\n <option value=\"Buri-Ram\">Buri-Ram<\/option>\n <option value=\"Pathum-Thani\">Pathum-Thani&#8221;<\/option>\n <option value=\"Prachuap-Khiri-Khan\">Prachuap-Khiri-Khan<\/option>\n <option value=\"Prachin-Buri\">Prachin-Buri&#8221;<\/option>\n <option value=\"Pattani\">Pattani<\/option>\n <option value=\"Phra-Nakhon-Si-Ayutthaya\">Phra-Nakhon-Si-Ayutthaya<\/option>\n <option value=\"Phayao\">Phayao<\/option>\n <option value=\"Phangnga\">Phangnga<\/option>\n <option value=\"Phatthalung\">Phatthalung<\/option>\n <option value=\"Phichit\">Phichit<\/option>\n <option value=\"Phitsanulok\">Phitsanulok<\/option>\n <option value=\"Phetchaburi\">Phetchaburi<\/option>\n <option value=\"Phetchabun\">Phetchabun<\/option>\n <option value=\"Phrae\">Phrae<\/option>\n <option value=\"Phuket\">Phuket<\/option>\n <option value=\"Mukdahan\">Mukdahan<\/option>\n <option value=\"Mae-Hong-Son\">Mae-Hong-Son<\/option>\n <option value=\"Yasothon\">Yasothon<\/option>\n <option value=\"Yala\">Yala<\/option>\n <option value=\"Roi-Et\">Roi-Et<\/option>\n <option value=\"Ranong\">Ranong<\/option>\n <option value=\"Rayong\">Rayong<\/option>\n <option value=\"Ratchaburi\">Ratchaburi<\/option>\n <option value=\"Lop-Buri\">Lop-Buri<\/option>\n <option value=\"Lampang\">Lampang<\/option>\n <option value=\"Lamphun\">Lamphun<\/option>\n <option value=\"Loei\">Loei<\/option>\n <option value=\"Si-Sa-Ket\">Si-Sa-Ket<\/option>\n <option value=\"Sakon-Nakhon\">Sakon-Nakhon<\/option>\n <option value=\"Songkhla\">Songkhla<\/option>\n <option value=\"Satun\">Satun<\/option>\n <option value=\"Samut-Prakan\">Samut-Prakan<\/option>\n <option value=\"Samut-Songkhram\">Samut-Songkhram<\/option>\n <option value=\"Samut-Sakhon\">Samut-Sakhon<\/option>\n <option value=\"Sa-Kaeo\">Sa-Kaeo<\/option>\n <option value=\"Saraburi\">Saraburi<\/option>\n <option value=\"Maha-Sarakham\">Maha-Sarakham<\/option>\n <option value=\"Sing-Buri\">Sing-Buri<\/option>\n <option value=\"Sukhothai\">Sukhothai<\/option>\n <option value=\"Suphan-Buri\">Suphan-Buri<\/option>\n <option value=\"Surat-Thani\">Surat-Thani<\/option>\n <option value=\"Surin\">Surin<\/option>\n <option value=\"Nong-Khai\">Nong-Khai<\/option>\n <option value=\"Nong-Bua-Lam-Phu\">Nong-Bua-Lam-Phu<\/option>\n <option value=\"Ang-Thong\">Ang-Thong<\/option>\n <option value=\"Amnat-Charoen\">Amnat-Charoen<\/option>\n <option value=\"Udon-Thani\">Udon-Thani<\/option>\n <option value=\"Uttaradit\">Uttaradit<\/option>\n <option value=\"Uthai-Thani\">Uthai-Thani<\/option>\n <option value=\"Ubon-Ratchathani\">Ubon-Ratchathani<\/option>\n \t\t<\/select>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Enter<\/span><span>Telephone No.<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel tel\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"haveto\">Enter<\/span><span>Email<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email mailsp\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Select<\/span><span> Have you traveled to another province in the past 14 days? <\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-1\"><span class=\"wpcf7-form-control wpcf7-radio radio1\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-1\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-1\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"text-radio1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Which many provinces\" value=\"\" type=\"text\" name=\"text-radio1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Select<\/span><span> Have you traveled abroad in the last 14 days? <\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-2\"><span class=\"wpcf7-form-control wpcf7-radio radio1\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-2\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-2\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"text-radio2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Which country or province\" value=\"\" type=\"text\" name=\"text-radio2\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Select<\/span><span> Your family or close friend has traveled from other provinces. Or abroad in the last 14 days? <\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-3\"><span class=\"wpcf7-form-control wpcf7-radio radio1\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-3\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-3\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"text-radio3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Which country or province\" value=\"\" type=\"text\" name=\"text-radio3\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p><span class=\"any\">Enter<\/span><span>Suggestion<\/span>\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea content\" aria-invalid=\"false\" placeholder=\"\" name=\"your-message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" id=\"formbtn\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>**Please answer the following questions as a matter of fact: If you conceal information, you are guilty under the Communicable Diseases Act B.E. 2558 (2015).<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4498","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/pages\/4498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/comments?post=4498"}],"version-history":[{"count":13,"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/pages\/4498\/revisions"}],"predecessor-version":[{"id":4524,"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/pages\/4498\/revisions\/4524"}],"wp:attachment":[{"href":"https:\/\/krsinnotech.com\/en\/wp-json\/wp\/v2\/media?parent=4498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}