CAMP CHALLENGE Declaration Form for COVID-19

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Anyone making false declarations can be prosecuted under the Infectious Diseases Act. We seek your understanding and cooperation. Thank you! 

Personal Particulars
Nameyour full name
NRIC No.last 4 alphanumeric digits
Mobile No.
Organization Name
Travel Declaration
Have you returned from China, Republic of Korea, Japan, Italy, Iran, France, Spain, Germany, Switzerland, United Kingdom, and ASEAN countries* (excluding Malaysia) in the past 14 days?*ASEAN Countries besides Singapore & Malaysia: Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Myanmar, Philippines, Thailand, Vietnam
Have you returned from Malaysia in the past 14 days?
Do you have flu-like symptoms (e.g. fever, cough etc.)?
Did you, in the past 14 days, come in close contact with someone who (i) Is a confirmed COVID-19 case; OR (ii) Is part of a COVID-19 cluster?
Temperature Declaration

The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.

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