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 ---2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years Gender ---MaleFemaleOther Vaccine ---COVAXINZYDUS Children Information Mother Name Father Name Phone Number Email Residential Address