Sila masukkan butiran berikut:

Please fill in the following details:

Nama/Name

Nombor Telefon/Mobile Number

Passport/IC Number

Tujuan Lawatan/Purpose of visit

Tingkat/Level

Bilik/Nama Pegawai / Meeting venue/Person to meet

Dalam 14 hari yang lalu, adakah anda:*

In the last 14 days, have you:

Mengalami sebarang simptom COVID-19 (demam, batuk, sesak nafas, sakit tekak)?

Been exhibiting any COVID-19 symptoms (fever, cough, shortness of breath, sore throat)?
Berhubung rapat dengan pesakit positif COVID-19?

Had close contact with COVID-19 positive patient?

Tidak/No

Ya/Yes

Dengan ini, saya mengakui bahawa butiran yang diisi adalah betul dan tepat.* I hereby acknowledge that the information given in this form is correct and accurate.

Setuju/Agree

Mengikut peraturan Kerajaan Malaysia, semua pelawat hendaklah menyatakan keadaan kesihatan kendiri sebelum memasuki premis.

In accordance with Malaysian Government regulations, all visitors must declare their state of health before entering.
Leceh untuk mengisi butiran pendaftaran? Muat turun aplikasi MySejahtera dan gunakan fungsi pengimbas kod QR untuk kunjungan seterusnya!

Tired of filling in your details? Download the MySejahtera Application and use the QR function for your next visit!
Harap maklum bahawa sesuai dengan SOP terbaru, anda diminta untuk memberikan bukti vaksinasi Covid-19 anda iaitu kad vaksinasi fizikal / tangkapan skrin sijil digital

Kindly note that in accordance to the latest SOP, you are required to provide proof of your Covid-19 vaccination i.e physical vaccination card / screenshot of digital certificates