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APPLICATION FORM Polio Immunization Tour “Goodbye Polio: Hello India! “ Please complete the form below and sent it to: indianholidaydreams gmail.com PERSONAL INFORMATION : Title (Mr /Mrs / Ms)
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How to fill out application form polio immunization
Who needs application form polio immunization?
01
Individuals who are planning to travel to areas with a risk of polio transmission.
02
People who are required to show proof of polio immunization for employment or education purposes.
03
Individuals who are migrating to countries with polio outbreaks or high rates of polio.
How to fill out application form polio immunization?
01
Start by reading the instructions provided on the application form carefully. Make sure you understand all the requirements and any additional documents that may need to be submitted.
02
Fill in your personal information accurately and legibly. This may include your full name, date of birth, gender, address, contact details, and identification number.
03
Provide details of your immunization history. This should include the type of polio vaccine received, dates of immunization, and the healthcare professional or healthcare facility where the immunization was administered.
04
If you have any medical conditions or allergies, make sure to mention them on the form. This information can be crucial for healthcare professionals when administering vaccines.
05
If required, attach any supporting documents such as previous polio immunization records, medical certificates, or travel itineraries that may be necessary for processing your application.
06
Double-check all the information you have provided before submitting the form. Ensure that there are no errors or omissions that could delay the processing of your application.
07
Submit the completed application form along with any necessary supporting documents to the designated authority or healthcare facility as directed in the application instructions.
08
Keep a copy of your completed application form and any attached documents for your own records. This can be useful in case you need to refer back to the information or provide proof of immunization in the future.
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