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COVID-19 VACCINATION
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यदि टीकाकरण संबंधी संख्या की वृद्धि फॉर्म सबमिट करने के उपरान्त होती है तो गूगल फॉर्म लिंक पर दोबारा जाकर फॉर्म की सूचना UPDATE करें I
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Department
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University/College/Institute
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D.O.B
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Covid-19 Vaccination Ist Dose
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Date of Vaccination (If Administered )
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Covid-19 Vaccination IInd Dose
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Date of Vaccination (If Administered )
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Covid-19 Vaccination ID
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Number of Family Members Administered with Vaccination
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How Many People are motivated by you for vaccination
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Mode of Motivation
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