Covid-19 Test Result Submission

"*" indicates required fields

全名 Full Name per IC*

身份证号码 IC / ID No.*

电话号码 Phone Number

请问您是否有任何发烧、咳嗽、头痛、身体不适的症状？*

Do you have any symptoms of fever, cough, headache, feeling unwell?

是 Yes

否 No

请问您是否在过去14天与Covid-19 Positive的人接触？*

Do you have close contact with Covid-19 Positive patient in the past 14 days?

是 Yes

否 No

请问您是否在过去14天有去过Covid-19高风险国家？*

Have you travel abroad within the past 14 days?

是 Yes

否 No

请问您是否已完成2剂疫苗的接种？*

Have you fully vaccinated?

是 Yes

否 No

Covid-19 Test 测试类型*

Type of Covid-19 Test

Covid-19 Test 测试结果*

Covid-19 Test Result

请上传Covid-19 Test 测试成绩*

Kindly upload the proof of your Covid-19 Test result.

Drop files here or

Max. file size: 256 MB.

请上传完成接种疫苗的证书*

Kindly upload your Digital Certificate for Covid-19 Vaccination.

Drop files here or

Max. file size: 256 MB.

Submission Date: 20/01/2022

Name

This field is for validation purposes and should be left unchanged.

OM SPACE