GE2P2 Global Foundation:: The Informed Choice/Consent/Right-to-Refuse Imperative

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Please fill in the following information if you would like to be considered for listing as an endorser of the GE2P2 Global Foundation Statement on Immunization Involving COVID-19 Vaccines Under Emergency Use Authorization/Listing [EUA/L]. Only your name, chosen affiliation and country will be listed publicly.

Name and credential[s] as you would like them to appear in the signatory list *

Any title[s] or role[s] and institutional affiliation[s] you would like to have listed with your name as above *

Country

Email Address (this will not be listed publicly but may be used to contact you to verify the provided information) *

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