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S3P Declaration
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* Indicates required question
Full Name
*
Your answer
Check-In Date
*
MM
/
DD
/
YYYY
Check-Out Date
MM
/
DD
/
YYYY
Mobile No
*
Your answer
Email
Your answer
Body Temperature
*
Your answer
Have you travelled anywhere out of Singapore in the last 14 days?
*
Yes
No
Have you been in close contact with someone who is a suspect or confirmed case of COVID-19?
*
Yes
No
Were you previously living in the same house as someone on Home Quarantine Orders or Stay Home Notice?
*
Yes
No
Have yo had any fever or respiratory symptoms in the last 1 week (cough, sore throat, runny nose, breathlessness, etc)?
*
Yes
No
Are you on Leave of Absence from work?
*
Yes
No
Have you been in any of the known local clusters in the last 14 days?
*
Yes
No
If you response is "YES" to any of the above, Faith Methodist Church reserves the right to deny admission to S3P@Faith.
Your answer
I/We have read and understood the
Personal Data Protection Policy (PDPP)
of Faith Methodist Church, and hereby give my/our acknowledgement and consent to use my/our personal data in accordance with the PDPP. We understand that the details of the Personal Data Protection Policy can be found at
www.faithmc.sg/DPP
.
*
Please click to agree
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6.
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