Free Vaccination Drive - YFS & DFS
Youth for Seva & Doctors for Seva have come together to help the community with the free vaccination against COVID 19 for Volunteers, Teachers, Drivers, Street Vendors, Priests, Artists, People in Seva Bastis, etc., in the next few days. Request all the teachers & volunteers to register yourselves & also identify/ help 4 more needy people (whom you would meet/ interact on a daily basis) around you register for vaccination. The phone number you mention here must be linked to Aadhaar Card.
Name *
Phone Number *
Age *
Occupation *
Gender *
BBMP Ward Number *
Email ID *
Address *
Is this your First Dose? *
If this is your Second Dose, mention the First Dose date
MM
/
DD
/
YYYY
Your Reference 1 - Name
Phone Number
Age
Gender
Clear selection
BBMP Ward Number
First Dose or Second Dose?
Clear selection
Your Reference 2 - Name
Phone Number
Age
Gender
Clear selection
BBMP Ward Number
First Dose or Second Dose?
Clear selection
Your Reference 3 - Name
Phone Number
Age
Gender
Clear selection
BBMP ward Number
First Dose or Second Dose?
Clear selection
Your Reference 4 - Name
Phone Number
Age
Gender
Clear selection
BBMP Ward Number
First Dose or Second Dose?
Clear selection
Submit
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