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COVID-19: CONTACT TRACING FORM

Declaration:

  • I have not returned from overseas in the past 14 days.

  • I do not have flu-like symptoms (e.g. cough, fever with temperature at 38°C or more).

  • I am currently not on Stay Home Notice, Leave of Absence or Quarantine Order due to COVID-19.

Thanks for submitting!

Disclosure:

​By submitting your information, you agree and consent to the collection and use of your information by the company for the purpose of
COVID-19 contact tracing.

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