Declaration Form

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Declaration Form

If you have scheduled a pickup or delivery from BEAM Space in Singapore, whether for storage or logistics services, please complete this Declaration Form prior to our driver arriving. Unfortunately, we will have to cancel any requests for which a Declaration Form has not been submitted.

The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.

For updates on our precautionary measures, service availability and operational status, please visit follow us on social media or visit our blog at the following URLs:

https://www.facebook.com/beamspace
https://www.twitter.com/beamspacedotcom
https://blog.beamspace.com

As always, please feel free to reach out by chatting with us on www.beamspace.com or e-mailing to cs@beamspace.com.

Email *

Your Name *

Last 4 characters of your NRIC/FIN/Passport number *

Mobile Number *

Date of scheduled pickup/delivery *

YYYY

Have you traveled abroad (i.e. to any countries outside of Singapore) in the past 14 days? *

Yes

Do you have flu-like symptoms (e.g. fever, cough, runny nose, sore throat or loss of taste / smell, etc.)? *

Yes

Did you, in the past 14 days, come in close contact with someone who(i) Is a confirmed COVID-19 case; OR(ii) Is part of a COVID-19 cluster? *

Yes

Have you returned from the Middle East* in the past 14 days? *

*High Risk Middle Eastern Countries (for MERS-CoV) include: Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates & Yemen

Yes

Did you come in contact with someone who has returned from Middle East and he/she is not feeling well in the past 14 days? *

Yes

Send me a copy of my responses.

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