Volunteer Outdoor & Recruitment Training and Certification (VORTAC)

PERSONAL DETAILS

Full Name (As per IC/Passport)*

IC / Passport No.*

Phone*

Email*

1. Have you returned from an overseas/interstate trip in the past 14 days?*

Please state the country/state visited:*

2. Have any of your close relatives returned from an overseas/local trip in the past 14 days?*

Please state the country/state visited:*

3. Have you been in close contact of a confirmed COVID-19 person in last 14 days?*

4. Has your family member been in close contact of a confirmed COVID-19 person in the last 14 days?*

Untitled*

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application.