To use this form, you must have bought our Antigen Test Kit. Once you have taken the test, please fill in the form below. Take a picture of your test result and upload it. Your Name (required) Your Email (required) Phone: What date did you take the test? What time did you take the test? (Enter in HH:mm format) What was your result? ---NegativePositiveUnclear What's your Date of Birth? Your Passport Number: Upload Image of Test Result I consent to sharing the results of my valid Covid-19 Rapid Antigen Lateral Flow test with Xana Medtec Ltd. For the purpose(s) of processing Covid-19 test results and for the purposes of travel in accordance to the Government guidelines.