Covid-19 Vaccination Foreigner Registered Application in Khanh Hoa Province
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Full Name (Họ & Tên) *
DOB (Ngày/tháng/năm sinh) *
MM
/
DD
/
YYYY
Gender (Giới) *
Nationality (Quốc tịch) *
Passport # (Hộ chiếu) *
Cell phone # in Vietnam (Điện thoại) *
Email *
Address in Khanh Hoa (Địa chỉ) *
Career / Work place (Nghề nghiệp / Nơi làm việc) *
Register for vaccine (Dose 1 / Dose 2)
Type of vaccine of dose 1 (if already vaccinated)
Note (Ghi chú)
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