TRAVEL DECLARATION FORM
Dear Sir / Madam
亲爱的先生/女士

To prevent the spread of novel coronavirus (Covid-19) in our community and reduce the risk of exposure to our staff and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. Thank you for your time.

为了防止新型冠状病毒(Covid-19) 在我们社区中传播及减少我们的员工和访客的风险,请填上以下的表格。这会帮助我们采取预防措施来保护您和其他人。感谢您的时间。
1. Full Name 姓名 *
Your answer
2. Mobile number 手机号码 *
Your answer
3. Email 电邮 *
Your answer
4. Date of your visit 采访日 *
MM
/
DD
/
YYYY
5. FIN / Passport/ NRIC Number (Last 4 digits) 身份证号码 *
Your answer
6. Nationality 国际 *
Your answer
7. Name of GEMS (Singapore) staff you are visiting 职员姓名 *
Your answer
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