Health Declaration

In view of the advisories from MOH and MOE, we require all staff, students, volunteers and visitors to submit this declaration within the hour BEFORE entering College. For example, if you are coming for 8:30am class, you should submit this declaration online between 7:30am – 8:30am.

Your Name *

Staff | Student | Visitor ID *

Contact Number *

Please answer the following questions: CLICK for YES

Do you have 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)?
Have you been placed on Leave of Absence (LOA) or Stay Home Notice (SHN), or Home Quarantine Order (HQO)?
Has any of your family members living in the same household been placed on Leave of Absence (LOA) or Stay Home Notice (SHN), or Home Quarantine Order (HQO)?

By submitting this form I hereby declare that I have answered the above questions truthfully. I understand that a false declaration is equivalent to an attempt to wilfully deceive the relevant authorities and cause harm to public safety, and that I may be prosecuted for such offences.

Name

Conditions of Entry to ETCAsia premises
Please note that any person returning a temperature reading at 37.5 ºC or has answered YES to the questions above will not be able to enter our premises. We seek your kind understanding.

By providing personal data through this declaration form, you authorise ETCAsia to collect, use, process and disclose personal data provided for the purpose of verifying your identity, screening your health status and maintaining records of visitors to ETCAsia for contact tracing purposes, to ensure our safety and security.

Health Declaration

About ETCAsia

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