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



    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