Attention: Educators still without a vaccine appointment

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MUT members who have not received an appointment for vaccinations are requested to fill the following form. Members who received an appointment but requested rescheduling and have not yet received the appointment are requested to fill the form as well and insert a comment. By filing the form you are giving your consent to have your details passed on to the respective Education and Health Ministries.

The MUT shall handle data in accordance with GDPR.

Please fill in and submit the form below:

Email *

ID card number *

Name *

Surname *

Mobile number *

Date of birth *

YYYY

Address - Number/House Name *

Address - Street Name *

Address - Locality *

Designation *

Category (Primary, Secondary, etc) *

Name of school / place of work *

Any comment to explain situation in case of rescheduling

A copy of your responses will be emailed to the address you provided.

Submit

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