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E-DECLARATION FORM

**Particulars recorded will be used for contact tracing if necessary**
https://www.pdpc.gov.sg/Advisory-on-CUD-for-COVID-19


Please fill up the form below

First Name: *


Last Name: *



Identification (last three (3) digits and letter of NRIC/FIN/PP, e.g. XXXXX567A.): *



Contact Number: *



Temperature: *



I have not travelled or returned from (including transit) mainland China South Korea, Iran, Italy, France, Germany, Spain, ASEAN countries, Japan, Switzerland and the United Kingdom in the last 14 days? OR Had close contact with a person confirmed to have COVID-19? OR Had close contact with a person being evaluated for the COVID-19? *






I do not have any direct family members of close friends who travelled or returned from (including transit) mainland China South Korea, Iran, Italy, France, Germany, Spain, ASEAN countries, Japan, Switzerland and the United Kingdom in the last 14 days? *




















Please also note that by providing us with your contact details, you give your consent for Ez-RSVP to send you messages through your mobile phone regarding the event and to share your personal data and its service providers and their respective affiliates to use and transfer the personal data to locations both within and outside the point of collection in accordance with the applicable law.