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Database of Health Care Service Provider for Covid -19 Vaccine of TMC & Dr. BRAM Teaching Hospital
Semester 5th
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Student Name
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Your answer
Photo ID Type (except Aadhaar)
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Driving License
Voter ID
Passport
PAN Card
ID Number (e.g. Voter ID / PAN Card / Driving Licence / Passport Number . Which you have selected in previous drop down menu).
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Your answer
Gender
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Female
Male
Date of Birth
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Month of Birth
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January
February
March
April
May
June
July
August
September
October
November
December
Year of Birth?(only year e.g. 1976)
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Mobile Number( 10 digit Number)
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The above Mobile Number belongs to
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Self
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Other
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