Contact Tracing Form – Westside Anglican Church

In this season of 2019-nCov, we are collecting contact details for ALL who enters Westside Anglican Church premises, in order to facilitate authorities to contact you should there be a case of infection.

Please click on the appropriate boxes below. *

I have NOT travelled to China in the last 14 days.
I have NOT been in contact with anyone from China in the last 14 days.
I have NOT been in close contact with confirmed/suspected cases of 2019 novel coronavirus infection.
I am NOT on any Leave of Absence (LoA) from MOH or my employer.
I am NOT feeling ill with coughing, running nose, sneezing or breathlessness.

Full Name *

Do you own a Singapore Phone Number?

Email *

Privacy Statement and Consent to Use Personal Data *

By submitting this form, you give consent to WAC to collect the above information for pastoral and administrative purposes of the Church in accordance to SAC's Personal Data Protection Policy.

Westside Anglican Church (WAC) respects your personal data and privacy, and will only use and disclose your personal data in accordance with the legal requirements. For more information about SAC’s Personal Data Protection Policy, please email to dataprotection@cathedral.org.sg or visit their website at https://cathedral.org.sg/page/privacy-policy.

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