Health Declaration Form

Covid 19 - Our Commitment to Health & Wellbeing

As we navigate through COVID-19, Capella Hotels and Resorts will continue to embody the philosophy that guides our service excellence, whilst maintaining the highest hygiene standards to safeguard the health and wellbeing of all guests and colleagues. We have enhanced elements of our operational strategy to ensure we can safely uphold our legacy of offering the highest level of personalised service.

We understand it is a privilege to be trusted in safeguarding the health and wellbeing of our guests as the future of travel changes. We pledge to create a safe and welcoming environment for all guests from the moment their reservation is confirmed until departure.

Thank you for your submission.
All fields in this form are mandatory and to be completed by applicant unless stated otherwise.
Are you on any employment pass or permit?
If yes, please indicate your employment pass/permit number and employer's details:

This requirement is imposed under the Control Order and is in addition to guest information required under the Hotels Licensing Regulations.

1. I am going to (choose all applicable options):
2. Have you made reservation for hotel stay?
If yes, please indicate the purpose of your stay:
3. Have you travelled abroad (i.e to any countries outside of Singapore) in the past 14 days?
If yes, please specify the countries you have travelled to:
4. Do you have flu-like symptoms (e.g. fever, cough, runny nose, sore throat or loss of taste / smell, etc.)? Please inform hotel personnel if you are experiencing any of the following symptoms. (choose all applicable options)
5. Have you been issued a Stay-Home Notice?
If yes, please specify start and end date of your Stay-Home Notice:
6. 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
(iii) Has been issued a Stay-Home-Notice
7. Please provide your emergency contact information

The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease. If you show any signs of illness as listed in question 4, please inform us immediately.

Capella Singapore

1 The Knolls
Sentosa Island,
Singapore 098297

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