Rangpur Polytechnic Institute, Rangpur
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কোভিড-১৯ টিকার তথ্য প্রদান ফর্ম
ID
Zilla
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Upazilla
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Technology:
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Civil Technology
Computer Technology
Electrical Technology
Electronics Technology
Electromedical Technology
Mechanical Technology
Power Technology
Semester :
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1st Semester
2nd Semester
3rd Semester
4th Semester
5th Semester
6th Semester
7th Semester
8th Semester
Student Name :
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Board Roll:
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Student Active Mobile Number :
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Date Of Birth:
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Birth Registration Number:
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NID Number (If Any):
Registration for COVID-19 Vaccination completed in surokkha website app :
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Yes
No
Vaccine Taken :
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Yes
No
First Dose Vaccine Date :
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Second Dose Vaccine Date :
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