Covid-19 Vaccine for Students - Distance and Continuing Education Unit(DCEU), University of Ruhuna.
A COVID19 vaccination program (SINOPHARM) will be conducted on Wednesday 13th October 2021 at Wellamadama Premises of University of Ruhuna and Faculty of Agriculture, Mapalana , Kamburupitiya for all University Students living in the Southern Province.
The objective of this survey is to count the number of students to be vaccinated at the Covid-19 vaccination center which will be established in the University of Ruhuna.
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)
I here by declare that I didn't get single dose of any Covid-19 vaccine
Do you have any allergies to vaccines or drugs?
Preferred Vaccination Centre ?
University of Ruhuna, Wellamadama , Matara
Faculty of Agriculture, University of Ruhuna, Kamburupitiya
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