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Safety Declaration for Physical Classroom Training During Covid-19
Dear trainees
Given the ongoing COVID-19 pandemic, we seek your co-operation to complete the following form to facilitate contact tracing, if necessary.
If you are attending physical classroom training, please fill up the form below.
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* Required
Email
*
Your email
Name (as Per NRIC)
*
Your answer
Date of Training
*
MM
/
DD
/
YYYY
Course Title
*
Your answer
Do you have any of the following symptoms now or within the last 14 days: Cough, smell/taste impairment, fever, breathing difficulties, body aches, headaches, fatigue, sore throat, diarrhoea, and / or runny nose (even if your symptoms are mild)?
*
Yes
No
Maybe
Have you been in contact with anyone who is suspected to have or/has been diagnosed with Covid-19 within the last 14 days?
*
Yes
No
Maybe
A copy of your responses will be emailed to the address you provided.
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