COVID-19 VACCINATION DRIVE IN NFR
COMPILATION OF DATA OF FRONTLINE WORKERS OF N F RAILWAY FOR COVID-19 VACCINATION
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Ministry *
Ministry/Zone (as in Level 1 - Nodal Ministry) (Tick the Check box)
Required
Department *
(Level 2 - Nodal Department)
Unit *
(Level 3 - Units/Institutions)
Beneficiary Name *
Name of Employee
Designation/Rank of Beneficiary *
Official Designation of Railway Employee
Photo ID Type *
(Except Aadhar)
Photo ID Number *
Gender *
Date of Birth *
Month of Birth *
Only enter month of Birth in number
Year of Birth *
Mobile No. *
Mobile Number belongs to *
Name of Office where beneficiary is presently working *
State (Current Office) *
District (Current Office) *
Block (Current Office) *
Address of Current Office *
Postal Code of Current Office *
Nearest Locality/Village as per Current Office Address
State (Current Residential Address) *
District (Current Residential Address) *
Block (Current Residential Address) *
Street (Current Residential Address) *
Postal Code (Current Residential Address) *
Nearest Locality Village as per Current Residential Address)
Vaccination Preferred Centre at Current Address of Residence or Office Address *
Required
ADDITINAL INFORMATION REQUIRED FOR INTERNAL USE OF NFR ADMINISTRATION  FOR EASY TRACKING & MONITORING
Employee PF/NPS No. *
Email Address of Employee
Name Controlling Officer/Incharge *
Designation of Controlling Officer/Incharge *
Mobile No. of Controlling Officer/Incharge *
This online data collection form is created by APO/MPP&IT, HQ/NFR as per prescribed proforma of Railway Board in connection with COMPILATION OF DATA OF FRONTLINE WORKERS OF N F RAILWAY FOR COVID-19 VACCINATION. For any difficulties in filling up the data in this form, may please contact at mobile No. 9957550630.
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