Staff Name: *

Your Email: *

Date of ART (YYYY-MM-DD): *

ART result? * NegativePositive

Pls upload photo of your ART result * (filesize not more than 150kB)

REMINDER!

i. Keep safe distancing of 1m at all times;

ii. Wear surgical mask all the time;

iii. Wash/Disinfect hands before going on-site and after completing the job;

iv. Install and enable TraceApp in your mobile;