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Vaccination Form For Sem-I
* Indicates required question
Email
*
Your email
Name of the Students
*
Your answer
Application Id
*
Your answer
College Roll No (if any)
Your answer
Choose Your Subject
*
Choose
Bengali (H)
Botany (H)
Chemistry (H)
Commerce (H)
English (H)
Economics (H)
Geology (H)
Hindi (H)
History (H)
Philosophy (H)
Physics (H)
Political Science (H)
Physiology (H)
Mathematics (H)
Sanskrit (H)
Urdu (H)
Zoology (H)
Law
B.A. (Gen)
B.Com (Gen)
B.Sc (Gen)
M.A.
M.Com
M.Sc
P.Hd Scholer
Choose Your Semester
*
Choose
Sem-I
Sem-II
Sem-III
Sem-IV
Sem-V
Sem-VI
Select Your Gender
*
Female
Male
Other:
Date of Birth (Select from calendar)
*
MM
/
DD
/
YYYY
Age an on 31/08/2021
*
Your answer
Mobile No
*
Your answer
ID Number (Aadhar Number / EPIC No)
*
Your answer
Dose Required
*
1 St Dose
2 Nd Dose
Vaccination Completed
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