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SSSC Health & Travel Declaration for Student
Dear Parent,
You need to fill in this Health & Travel Declaration Form and submit ONE for EACH CHILD who is currently attending tuition in Stepping Stones Study Center.
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* Indicates required question
Child's Name (full name as in NRIC / Student Pass)
*
Your answer
Parent's Name
*
Your answer
Parent's Mobile Number
*
Your answer
Has your child been in contact with the following mentioned for the past 14 days from the date of submission of this form ?
A) COVID-19 confirmed case
*
Yes
No
Required
B) a suspected case
*
Yes
No
Required
C) a person issued Home Quarantine Order (HQO)
*
Yes
No
Required
D) a person issued Leave of Absence (LOA)
*
Yes
No
Required
E) a person issued Stay-Home Notice (SHN)
*
Yes
No
Required
F) a person issued Approved Absence (AA)
*
Yes
No
Required
G) a person issued medical certificates for respiratory symptoms
*
Yes
No
Required
If your answer is a 'YES' for Annex (A) to (G) , indicate the Annex related and provide more details.
Your answer
H) have you left or returned to Singapore in the past 14 days from the date of submission of this form?
*
Yes
No
Required
If your answer is a YES , provide more details.
Your answer
I declare that all information provided by me in connection with this form is accurate, complete and true.
*
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