Welcome to Bethesda Frankel Estate Church
Kindly note that we will be collecting visitors’ personal data for purposes of contact tracing and other response measures during the outbreak of the COVID-19. Thank you for your cooperation.
Sign in to Google to save your progress. Learn more
Name *
Mobile Number *
Which service are you attending today?
Clear selection
Name of friend who invited you today (Pl put NIL if you are here on your own). *
Do you have flu-like symptoms (e.g. fever, cough etc.)? *
Have you directly received a QO or SHN from MOH or do you fall under the LOA category of MOE pertaining to returning staff and students?                                                        (If you were not issued any SHN from the authorities but have recently returned from any country, we ask that you consider a 14-day self-imposed LOA) *
Did you, in the past 14 days, come in close contact with someone who                                                                                                    (i) Is a confirmed COVID-19 case;  OR                                                                                                                                                                           (ii) Is part of a COVID-19 cluster;    OR                                                                                                                                                               *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bethesda Frankel Estate Church. Report Abuse
Google Forms