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Vaccinator Interest Form

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COVID Vaccinator Interest Form

Full Name *

Mobile Number *

Email *

Profession: *

NMC Number *

GPhC Number *

GMC Number *

Employment status *

Declaration *

I have the appropriate knowledge, skill, and competence to safely administer and/or assess suitability for COVID-19 vaccination.

Signature *

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LEARN ABOUT OUR ORGANIZATIONS

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