Visitor COVID-19 Symptom Declaration Form
Full Name
Company/Organization
Contact Number
Symptom Check (select any you are experiencing):
Fever
Cough
Shortness of breath
Sore throat
Loss of taste or smell
None of the above
In the past 14 days, have you:
Had close contact with a confirmed COVID-19 case
Traveled internationally
None of the above
Signature
Date
I declare that the information provided above is true and correct to the best of my knowledge.