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উচ্চ মাধ্যমিক শ্রেণির শিক্ষার্থীদের কোভিড-১৯ টিকা সংক্রান্ত তথ্য ফরম
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Email
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Your email
Name of Student (SSC Registration Wise)
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Your answer
Class Roll
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Your answer
Class
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11
12
Group
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Science
Business Studies
Humanities
SSC Registration Number
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Your answer
NID Number (If any)
Your answer
Date of Birth (DD-MM-YYYY)
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MM
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DD
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YYYY
Registration for Covid-19 vaccination completed at “Surokkha website/app”? (Yes/No)
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Yes
No
First dose Vaccine taken? (Yes/No)
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Yes
No
Second dose Vaccine taken? (Yes/No)
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No
Contact Mobile No
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