Travel Declaration Form

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In light of the recent outbreak of the Novel Coronavirus, we are taking precautionary measures to safeguard the health and safety of employess and visitors of Malaysian camps and alternative outdoor accommodations in general. This includes taking their travel and health information for the past 14 days.

Email address *

Name of Camp/ Holiday Accommodation *

Full Name (as per identity card / passport) *

Address

Have you been suffering from a cold/flu, fever or general feeling of ill health in the last 14 days? *

Yes

Have you or your family members travelled to China in the last 14 days? * *

Yes

Did you travel to any other country in the last 14 days? *

Yes

If yes, please state which country?

Did any of your relatives travel to any other country in the last 14 days?

Yes

Clear selection

If yes, please state which country?

Submit

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