Just Health Kit Registeration

Please complete this form only when you are planning to take your test. Please ensure you take several photos of the test cassette next to your ID when the test is complete, if the photo is poor quality or in dark shadow or does not show your ID AND your cassette we will be unable to provide you with a result.

Test Type*

Order Id (i.e. #1010)*

When was sample taken? - Date*

When was sample taken? - Time (24 hour format)*

Gender * Female Male

Title *

Passenger Firstname *

Passenger Lastname *

Email *

Date of birth *

Passport Number (If you need it in your certificate)

Test cassette next to your ID *

Please ensure you take a photo of the test cassette next to your ID when the test is complete, if the photo is poor quality or in dark shadow or does not show your ID AND your cassette we will be unable to provide you with a result.

What was your result *

Positive result

Two lines appear. One line in the control line region (C), and another line in the test line region (T)
Two lines, one next to C and one next to T, even faint lines.

Negative result

One line appears in the control line region (C). No line appears in the test line region (T).

Void result

Control line (C) fails to appear.

Phone *