Online Appointment / Pre-registration COVID-19 Vaccination (Priority Group A4)
A. Private sector employees who are required to work outside their places of residence

B. Employees of government agencies, government corporations, and local government units

C. Informal sector workers who are self-employed who may be required to work outside their residences, and those in private households
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Name Extension *
Birthdate *
Age *
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House No. / Street / Zone / Subdivision
Barangay *
Mobile Number *
Occupation / Job Title *
Company / Establishment / Business Group *
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