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KhEC- Online form on vaccination status of students
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* Indicates required question
Full Name
*
Your answer
College Roll No.
*
Your answer
Department
*
Choose
Architecture
Civil
Computer
Electronics and Communication
Urban Design and Conservation
Earthquake Engineering
Year
*
1
2
3
4
5
Current Location (District)
*
Choose
Achham
Arghakhanchi
Baglung
Baitadi
Bajhang
Bajura
Banke
Bara
Bardiya
Bhaktapur
Bhojpur
Chitwan
Dadeldhura
Dailekh
Dang Deokhuri
Darchula
Dhading
Dhankuta
Dhanusa
Dolakha
Dolpa
Doti
Gorkha
Gulmi
Humla
Ilam
Jajarkot
Jhapa
Jumla
Kailali
Kalikot
Kanchanpur
Kapilvastu
Kaski
Kathmandu
Kavrepalanchok
Khotang
Lalitpur
Lamjung
Mahottari
Makwanpur
Manang
Morang
Mugu
Mustang
Myagdi
Nawalparasi
Nuwakot
Okhaldhunga
Palpa
Panchthar
Parbat
Parsa
Pyuthan
Ramechhap
Rasuwa
Rautahat
Rolpa
Rukum
Rupandehi
Salyan
Sankhuwasabha
Saptari
Sarlahi
Sindhuli
Sindhupalchok
Siraha
Solukhumbu
Sunsari
Surkhet
Syangja
Tanahu
Taplejung
Terhathum
Udayapur
Have you been tested Covid 19?
*
Yes and recovered
Yes and still suffering
NO
Are you vaccinated against Covid-19?
*
Yes I am fully vaccinated (Taken single dose of Johnson and Johnson Vaccine)
Yes I am fully vaccinated (Taken both doses of Covishield /Astrazeneca)
Yes I am fully vaccinated (Taken both doses of Verocell )
I have taken first dose of vaccination (Covishield /Astrazeneca)
I have taken first dose of vaccination (Verocell )
NO
Are you willing for vaccination if arranged by college?
*
Yes and I will be available at any time for vaccination
No
Already vaccinated not required
Yes But I am outside valley and need time to reach college
Age:
*
Below 18
Above 18
Any comments:
Your answer
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