Medical Unit, NIT Srinagar Winter Vaccination Drive - Registration
Dear Students and Staff, 
We are planning a winter vaccination drive at NIT Srinagar to ensure the health and safety of our campus community. Please take a moment to provide us with some information and your consent regarding the vaccination. Your responses will help us make the necessary arrangements for the vaccination drive.
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Full Name *
Category *
Required
Enrollment No/Employee ID *
  Phone Number   *
Have you already received a Flu vaccine?    *
If yes, please provide the name of the vaccine received and the date of the last dose.   *
If you haven't been vaccinated, are you interested in receiving the Flu vaccine? *
Do you have any known allergies or medical conditions that we should be aware of before vaccination?
Do you have any specific concerns or questions about the vaccination process that you'd like us to address?
Consent:
I understand that receiving the Flu vaccine is voluntary, and I am choosing to participate in the vaccination drive. I am aware of the potential side effects and benefits associated with the Flu vaccine.
*
Required
Additional Comments or Questions: 
If you have any additional comments or questions regarding the vaccination drive, please feel free to share them here  
 *
Thank you for your participation! Your input will help us better plan and serve the NIT Srinagar community during the winter season. Stay safe and healthy.  

Dr. Gowhar Nabi
Senior Medical Officer, NIT Srinagar
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