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Visitor Declaration Form

Questions marked with a * are required
Name of Visitor
Company Name
Contact Number
Email Address
Intended Date of Visit
Purpose of Visit
Lawyer-in-charge
Visit Location
Have you just returned from abroad (esp. India, Bangladesh, Nepal, Pakistan, Sri Lanka) within the last 14 days?
Have you been in contact with someone who has returned from abroad (esp. India, Bangladesh, Nepal, Pakistan, Sri Lanka) within the last 14 days?
Do you have a household member issued with a Quarantine Order or the Stay-Home Notice?
Have you been fully vaccinated and have taken an ART test in the last 7 days that shows negative result for Covid-19?
If you have not been fully vaccinated, have you taken an ART test in the last 4 days that shows negative result for COVID-19?
Are you feeling unwell?
I certify that the above responses are true, accurate and complete.
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