Pre-Registration for COVID Vaccination *Disclaimer: Administration of vaccine is subject to Government Approval and Procedural Guidelines. Basic information You're from GeneralCorporateCommunitySchool Children Information Child Name Age —Please choose an option—2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years Gender —Please choose an option—MaleFemaleOther Vaccine —Please choose an option—COVAXINZYDUS Children Information Mother Name Father Name Phone Number Email Residential Address