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GERAI VAKSINASI BEM USK
Diselenggarakan pada 15 September 2021
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Email
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Your email
Nama Lengkap
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Your answer
Tempat, Tanggal lahir
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Your answer
(Nomor Induk Kependudukan)
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Your answer
Nomor Handphone Aktif
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Your answer
Jenis Kelamin
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Laki - Laki
Perempuan
Jenis Vaksin
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Sinovac
Moderna
Vaksin Dosis
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Dosis 1
Dosis 2
Dosis 3 (Booster)
*Note : Registrasi Online Tidak Menentukan Urutan Pelayanan Vaksinasi, Tetapi disesuaikan dengan Waktu Kehadiran di Gedung AAC Dayan Dawood. 200 orang tercepat yang hadir di tempat vaksin akan mendapatkan Doorprize
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