COVID 19 Vaccination - QR Certificate
In order to facilitate the issuance of your QR Card, you may please assist us to fill in this application form, which shall be used for the verification and control.

You may note that any information provided shall only be utilised for the said purpose, and is for records purpose only.

The QR Certificate will be available digitally, from 30 August onwards, you will need to access the mobile application - HJ Hospitals Mobile Application, through which using your ID and password you can download a copy of the same.

Link for Anaroid: https://play.google.com/store/apps/details?id=patient.hops.healthcare
Link for IOS: https://apps.apple.com/in/app/hj-hospitals-mobile-app/id1546080902

ID (is your PID, begins from P900xxxyyy)
Password can be collected from the hospital, in person or though a call at the Customer Care.

For more inquires, you can call at our Customer Care:  +243815586555
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PID *(mentioned on the bill, begins as P900xxxyyy) *
Full name (First, Middle and Last) *
Gender *
Date of Birth *
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DD
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YYYY
Mobile number *
Address *
Email address *
PEV Certificate No. *(ex: RDC-KIN-LIM-HJH-1234) *
Nationality *
Passport Number *
1st Dose - Name of the Hospital *
1st Dose - Date of Vaccination *
MM
/
DD
/
YYYY
2nd Dose - Name of the Hospital *
2nd Dose - Date of Vaccination *
MM
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DD
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YYYY
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