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Covid-19 Test Result Submission

Employee

Covid-19 Test Result Submission - Employee

"*" indicates required fields

Personal Information

Full Name per IC*

Covid-19 Self-Check and Test Result

Do you have any symptoms of fever, cough, headache, feeling unwell?*
Do you have close contact with Covid-19 Positive patient in the past 14 days?*
Have you travel abroad within the past 14 days?*
Have you fully vaccinated?*
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Max. file size: 256 MB.
    Drop files here or
    Max. file size: 256 MB.
      Submission Date: 21/01/2022 / Submitted by:
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