Catholic Church of St Michael, Ipoh 怡保圣米高天主教堂 (17/10/2021 @ 10.30am)
Date 日期:17/10/2021
Time 时间:10.30am
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FULL NAME (as in MyKad or Passport) / 姓名(根据身份证或护照上的姓名) *
ONE FORM ONE NAME / 一人一表格
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I am fully vaccinated and will show following document at registration counter / 我已完成新冠疫苗接种,愿意在登记柜台前出示疫苗接种凭证 *
Covid 19 vaccination COMPLETION DATE .( Date of 2nd dose for Pfizer, AstraZeneca and Sinovac. Date of only dose for Johnson&Johnson and CanSino) / 完成新冠疫苗接种日期 [第二剂接种日期(辉瑞、阿斯利康、科兴) 或 一剂接种日期(强生、康希诺)] *
e.g. 例 31/08/2021
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In the last 14 days, have you been exhibiting any symptoms (fever, cough, shortness of breath, sore throat)? Had close contact with COVID-19 positive patient? 在过去的14天内,您是否有以下的症状 (发烧、咳嗽、呼吸困难、喉咙痛)?曾经与新冠肺炎病患接触? *
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