OFFSHORE VACCINATED CITIZENS REGISTRATION

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SEX (*)
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HAVE YOU TESTED POSITIVE FOR COVID (*)
Yes
No

COUNTRY WHERE VACCINATED (*)
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OTHER FIRST DOSE (PLEASE SPECIFY)
FIRST DOSE TAKEN DATE (*)
FIRST DOSE BATCH NO (*)

HAVE YOU TAKEN YOUR SECOND DOSE ?(*)

WHAT WAS YOUR SECOND DOSE?

OTHER SECOND DOSE (PLEASE SPECIFY)

SECOND DOSE TAKEN DATE

SECOND DOSE BATCH NO