A Nil reply is also required

Name of Student*:

NRIC/FIN Number*:

Your Class Code*:

Your email:

Your Contact Number:

I have travelled/will be travelling to the following countries between 26 Feb 2020 and 31 July 2020.

The details are listed below:

Country Travelled/Intended Travel Period of Stay
From To

Important Notes:

Where possible, please provide details of country and date of transit if you have stopped/will be stopping over at any other country while travelling.

A Nil reply is also required