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Student Information Form About Covid-19 Vaccine
Govt. Shahid Suhrawardy College, Dhaka
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Class Roll (Last 4 Digit)
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Your answer
Student Name
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Your answer
Session
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Choose
2019-20
2020-21
Gender
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Male
Female
Other:
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Birth Registration Number
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Your answer
Have you registered for the Covid-19 Vaccine in the Surokkha Apps?(Yes/No) তুমি কি সুরক্ষা অ্যাপে কোভিড-১৯ ভ্যাকসিনের জন্য নিবন্ধন করেছ?(হ্যাঁ/ না)
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Yes
No
Have you taken the 1st dose vaccine?(Yes/No)
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Yes
No
Have you taken the 2nd dose vaccine?(Yes/No)
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Yes
No
Mobile Number
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Your answer
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