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COVID Vaccination Drive (Covishield) by American Telugu Association (ATA)
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ATA Member Name (Your Name)
*
Your answer
Position (Your ATA Title)
*
Your answer
Relation(Family member in India)
*
Your answer
First Name(Family member First Name)
*
Your answer
Last Name(Family member Last Name)
*
Your answer
India Phone Number(Family member contact number)
*
Your answer
Age(Approximate)
*
Your answer
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