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Registration For COVID-19 Vaccine
This form is a registration to take COVID-19 Vaccine (Pfizer) at MedPark Hospital Your registration is used to reserve a free bus to MedPark Hospital.
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* Indicates required question
Name, Surname
*
Your answer
Student ID
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Your answer
Faculty
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Rangsit International College (RIC) (IB, ICT, COMARTS, MIDB)
Other:
Date & Time 9 A.M.
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Saturday, 4 February, 2023
Other:
Active Email
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Your answer
Contact : Phone
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Your answer
Contact : Line
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Your answer
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