Booking Form for DRwong Solutions Pte Ltd

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Please ensure that you have completed step 1 for payment and take note of the order number. Kindly do note that, as your booking request will only be confirmed after we have received your payment. Please take note that any payment made is non-refundable. Thank you.

Please Make Payment BEFORE Filling Up This Form

https://myshop.sg/homeswabtests

*Please take note of your order number after making the payment as you need it to make the booking.

Order Number from Payment Receipt *

Full Name (according to Passport) *

Singapore NRIC / FIN *

Passport Number *

Nationality *

Date of Birth *

YYYY

Gender *

Female

Male

Full Address *

Postal Code *

Mobile Number (with Whatsapp) *

Email *

Preferred Date for Swab Test *

YYYY

Preferred Time for Swab Test *

Time

Swab Test Required *

Report Covid positive - $30

PDT ART - $30 (For bookings more than 24 hours)

PDT ART - $50 (same day appointment)

PCR (Home Swab) - $128 (Report within 24 hours)

PCR (Home Swab) - $158 (Report within 12 hours)

Pre Event ART Supervision (one time) - $15

Pre Event ART Supervision (1 month) - $60

Pre Event ART Supervision (3 months) - $120

Departure Date/ Time and Destination

By submitting this form, I hereby declare the following:

1. I have ensured that the particulars submitted above are accurate and any subsequent changes will incur a $10 admin charge.
2. I acknowledge that payments made are non-refundable and bookings are non-transferable.

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