國家新研究船船隊貴重儀器及資料庫使用中心
(國家科學及技術委員會自然科學及永續研究發展處海洋學門補助計畫)
Self-health Management Questionnaire Prior to Sailing
Personal Information Collection and Declaration
    In compliance with the Personal Data Protection Act, the Application Center for Taiwan's Research Vessels requires that applicants confirm the following:
  1. To perform pandemic prevention surveys during the coronavirus disease (COVID-19) pandemic for research vessels that enter the Kaohsiung, Keelung, Hualien, and Anping ports as well as the ports of other countries, shipping personnel may collect, process, and use the aforementioned data from research personnel for the specific purpose of applying for a permit to sail. The collected data shall be provided to the Shipping Division of the Application Center for Taiwan's Research Vessels for use in official business in accordance with the Personal Data Protection Act.
  2. Pursuant to the Personal Data Protection Act, during the preservation period of the declaration, applicants may contact personnel from the Shipping Division of the Application Center for Taiwan’s Research Vessels to inquire about; review; request a copy of; supplement or correct; demand the deletion of; or demand the cessation of the collection, processing, or use of personal data.
  3. Applicants may choose whether to provide their personal data. However, if the applicants choose not to provide their personal data or to provide incomplete data, the Shipping Division of the Application Center for Taiwan's Research Vessels may be unable to determine the accuracy of such personal data and may not be able to offer related sailing information .
  4. Applicants should notify the emergency contact person or other relevant personnel before providing the contact person or relevant personnel's personal information to the Shipping Division of the Application Center for Taiwan's Research Vessels for use in official business-related applications in accordance with the Personal Data Protection Act.
  5. Personal data provided by applicants shall be deleted or disposed of after 3 months of preservation by the Shipping Division.
Application Center for Taiwan's Research Vessels Personnel Health Declaration
I am physically healthy and can board and sail in Taiwan's research vessel. I do not have sudden health risks including cardiovascular diseases, brain diseases, respiratory diseases, skin diseases, internal organ diseases, metabolic diseases, or motor diseases. I am responsible for the personal outcomes of any accidents that occur during the cruise as a result of my personal health factors. I have read and agreed to abide to the regulations governing living, work, safety, and hygiene on the research vessel as well as the Safety Regulations for Research Personnel from Research Institutions or Higher Education Institutions Performing Internships or Research on Research Vessels (filed by letter and stipulated by the Ministry of Education Tai-Jiao-Gao (1) Zi No. 1040014939 on March 14, 2015).

Self-health management questionnaire prior to sailing
  1. I hereby certify that all of the responses to the following health declaration questions are true. In the event of concealment or falsification, I acknowledge that I will be held legally responsible.
  2. I will abide to the health measures taken by the research vessel. If symptoms such as fever, cough, or dyspnea develop, I will report to the deck officer on duty immediately.
I hereby agree to the aforementioned statement
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