Do you have flu-like symptoms (e.g difficulty breathing, fever over 37.5°C, cough, runny nose, sore throat, diarrhoea, body ache, runny nose or loss of taste / smell etc) *
Are you currently serving (i) Stay-Home Notice (SHN) or (ii) Quarantine Order (QO) issued by the Ministry of Health (MOH)? *
Have you been in contact with any positive COVID-19 persons? *
Have you travelled abroad to countries outside of Singapore in the past 14 days? *
By submitting this form, you declare that i) All information given is true and correct. ii) You acknowledge and will commit to all Health & Safety Guidelines. *
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