Cheras Leisure Mall


Cheras Leisure Mall

GUEST DETAILS
Name
(As per NRIC/ Birth Cert./ Passport)
Mobile No.

How are you feeling?

Date


SELF-DECLARATION
1) Have you returned from China, Republic of Korea, Italy, France, Germany, Spain and Japan in the past 14 days?

2) Do you have flu-like symptoms (eg. fever, cough etc)?

3. Did you come in close contact with someone who: (i) Is a confirmed COVID-19 Case; OR (ii) Is part of a COVID-19 cluster; OR (iii) Has been to the above-mentioned countries in the past 14 days?

The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.

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