Exclusive Corporate Vaccination Drive for Unitus Capital Employees
Vaccination Registration
Demographics of Employee:
Name:
Age:
Gender:
Male
(9 to 15 years)
Female
(9 to 45 years)
Mobile:
Email:
Vaccine:
For family
Select this option to register only family members but not yourself.
Dose:
First
Second
Third
+ Add Family Member
Confirm
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Booking Confirmation
Demographics of Employee:
Name:
Age:
Gender:
Mobile:
Email:
Vaccine:
Dose:
Select Slot:
City:
Select City
Office:
Select Office
Date:
Select Date
Slot:
Select Slot
Grand Total:
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