Navotas City COVID-19 Vaccine Registration Form
Paalala Ang maaaring mag-kumpleto ng form na ito ay mga residente, o hindi residente ngunit nagtatrabaho sa Navotas at edad 18 yrs. old pataas.
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Personal Details
Employment Details
COVID-19 Related Details
Consent
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I do hereby declare that all the information given above is TRUE to the best of my knowledge and belief. Ipinapahayag ko na ang lahat ng impormasyon na nakasaad dito ay pawang katotohanan sa abot ng aking personal na kaalaman at paniniwala.
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