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FAQ
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0969-220-2999
0928-934-7148
0928-826-7084
411-0155
255-7960
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Vaccine Information Management System
Volunteers Registration
Last Name
Required
First Name
Required
Middle Name
Suffix
Required
Choose NA for not applicable
Choose Suffix
NA
JR
SR
II
III
IV
V
VI
VII
Contact No.
Required
Address
Required
Field Category
Required
Choose Field
Medical
Non-Medical
Allied Health Provider
Profession
Required
Choose Profession
Please Specify (e.g Dentist, Medtech, Medical Students, at least 3rd yr. level, medical intern, nursing graduate and etc.)
Required
PRC ID
Required
Vaccine Status
Required
Choose Status
Vaccinated
Not Vaccinated
Vaccine QR Code Link
Required
Type NA for not applicable
Date of 1st Dose
Required
Date of 2nd Dose
Preferred Working Schedule
Required
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Working Time
Required
Choose Time
8AM - 12PM
1PM - 5PM
8AM - 5PM
When can you start ?
Required
Work experience related to vaccination ?
With Experience
Email Address
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CPD CERTIFICATE WILL BE GRANTED TO QUALIFIED VOLUNTEERS.
I declare under oath that I have personally accomplished this Registration which is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines.
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