Sinopharm Vaccination Programe - University of the Visual and Performing Arts(UVPA) for Staff/ Students aged 20

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Sinopharm Vaccination Programe - University of the Visual and Performing Arts(UVPA) for Staff/ Students aged 20 – 30 yrs

Event Duraion: October 11th - 15th, 2021 from 9.00am to 2.00pm
Location: At the Medical Centre, University of Visual and Performing Arts (UVPA)

Note: The recipients of the vaccination have to bring their N.I.C as well as the University Identity Card for authentication.

Name *

NIC Number *

Mobile Number *

Home Address : *

University

Staff / Student *

Staff

Student

Preferred Vaccination Date *

11th of October

12th of October

13th of October

14th of October

15th of October

Vaccine Dose *

1st Dose

2nd Dose

Any drug allergy? *

Yes

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