Survey of Covid-19 Vaccine Details of Students Registered in the Distance and Continuing Education Unit(DCEU), University of Ruhuna.
The objective of this survey is to gather information related to covid 19 vaccines of students in DCEU, UoR.
Please read the following instructions before responding to this survey.
1. This survey is only applicable for any DCEU Registered student.
2. Always provide honest and accurate information.
3. We will use this information only for this task.
We would really appreciate your kind response to this survey to make this task a success.
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Your name with initials
Your national identity card (NIC) number
Select the program you are studying under DCEU
Bachelor of Arts General External Degree
Diploma in Human Resource Management
Diploma in Scientific Tea Manufacturing and Quality Management
Extension Courses in English
Biodiversity and Ecosystem Management
Your registration number
Pls type your registration number with full format
Address of your current residence
Grama Niladari Davison (GND) of your current residence
District of your current residence
Nearest MOH office to your current residence
Your email address
Your contact number (mobile number preferred)
Current Vaccination Status
1st Dose Completed
2nd Dose Completed
Do you have any allergies to vaccines or drugs?
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This form was created inside of University of Ruhuna.