Customer Registration

Full Name (as per NRIC) *

NRIC *

Mobile Number *

Email *

Visiting Outlet * Visiting Outlet

Date of Visit *

Time of Visit *

Temperature *

Normal: 36.5–37.5 °C

Remarks (if any)

I hereby agree that the information submitted is solely for the use of Covid-19 tracing (only when required) as the local authority's requirement.