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Pre Vaccination & Post Vaccination 2021-22
* Indicates required question
Email
*
Your email
Semester
*
Semester 1
Semester 3
Semester 5
Vaccine Taken
*
No
Yes, but only 1st Dose
Yes, both 1st and 2nd Dose
Date of Vaccine taken (if both taken, write date of 2nd dose only)
MM
/
DD
/
YYYY
Aadhaar Number
*
Your answer
BA / BSc (for BCA write BSc)
*
BA
BSc
Name of Student
*
Your answer
College Roll Number
*
Your answer
Phone Number
*
Your answer
Email Id
*
Your answer
Type of Vaccine taken
*
Covaxin
Covishield
Sputnik V
None
Date of Birth
*
MM
/
DD
/
YYYY
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