Sinopharm Vaccination Program - University Of Colombo (Below 30Yrs.)

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Event Duration : October 14th & 15th, 2021 from 9.00am to 3.00pm
Location : Faculty of Arts, University of Colombo
To Whom: Students and staff of any University

** Those who need the vaccination please fill the form before 8.00am of 13th October 2021.

Name of the University *

University of Sri Jayewardenepura

University of Kelaniya

University of Peradeniya

University of Moratuwa

University of Jaffna

University of Ruhuna

The Open University of Sri Lanka

Eastern University, Sri Lanka

South Eastern University of Sri Lanka

Rajarata University of Sri Lanka

Sabaragamuwa University of Sri Lanka

Wayamba University of Sri Lanka

Uva Wellassa University of Sri Lanka

University of the Visual & Performing Arts

Gampaha Wickramarachchi University of Indigenous Medicine

University of Vavuniya

University Of Colombo

Other:

Student Registration Number *

First Name *

Last name

Home Address *

Date of Birth *

YYYY

Age *

Gender *

Male

Female

NIC Number *

Contact Number *

E-mail *

(University E-mail only)

Passport Number

Have you had COVID

Yes

Clear selection

District *

Preferred Vaccination Date *

14th October

15th October

Any Drug Allergy? *

Yes

I Agree to get the Vaccine

Yes I agree

Clear selection

Submit

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