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  • Application Summary: Child Applicant

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    Andy will
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    This document is an application summary for a child applicant named Jain Vimit Nilesh seeking to travel to Singapore. It includes details of the child and their parents such as their names, dates of birth, passport numbers, and addresses. It also lists all vaccinations the child has received to date against diseases such as diphtheria, measles, hepatitis B, polio, tuberculosis, chickenpox, mumps, and rubella. Supporting documents like passports, birth certificates, vaccination forms, and identification cards have been uploaded with the application.

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    This document is an application summary for a child applicant named Jain Vimit Nilesh seeking to travel to Singapore. It includes details of the child and their parents such as their names, dates of birth, passport numbers, and addresses. It also lists all vaccinations the child has received to date against diseases such as diphtheria, measles, hepatitis B, polio, tuberculosis, chickenpox, mumps, and rubella. Supporting documents like passports, birth certificates, vaccination forms, and identification cards have been uploaded with the application.

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    © All Rights Reserved
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    29 views2 pages

    Application Summary: Child Applicant

    Uploaded by

    Andy will
    This document is an application summary for a child applicant named Jain Vimit Nilesh seeking to travel to Singapore. It includes details of the child and their parents such as their names, dates of birth, passport numbers, and addresses. It also lists all vaccinations the child has received to date against diseases such as diphtheria, measles, hepatitis B, polio, tuberculosis, chickenpox, mumps, and rubella. Supporting documents like passports, birth certificates, vaccination forms, and identification cards have been uploaded with the application.

    Copyright:

    © All Rights Reserved
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    of 2

    APPLICATION SUMMARY

    HPB Ref No NIR20190626-0041KT


    Submission Date 26/06/2019

    Child Applicant

    Full Name JAIN VIMIT NILESH


    Travel Document Number T1294195
    Gender Male
    Date of Birth 05/07/2013
    Country of Birth India

    Parent/Guardian of Child Applicant


    Relationship with Child Father
    Full Name JAIN NILESH JAVERCHAND
    Gender Male
    Country of Birth India
    Travel Document Number T0245452
    Singapore FIN Number G3878400K
    Email Address nileshjain.nj@gmail.com
    Singapore Mobile Number 82877520
    Singapore Residential Address 438B , ALEXANDRA ROAD , #4-- , ALEXANDRA TECHNOPARK , Singapore
    119968
    438B , ALEXANDRA ROAD , #4-- , ALEXANDRA TECHNOPARK , Singapore
    Singapore Mailing Address
    119968
    Parent/Guardian of Child Applicant
    Relationship with Child Mother
    Full Name JAIN RAKHI NILESH
    Gender Female
    Country of Birth India
    Travel Document Number J6066992
    Singapore FIN Number
    Email Address nileshjain.nj@gmail.com
    Singapore Mobile Number
    Singapore Residential Address
    Singapore Mailing Address

    Vaccinations Taken by Child Applicant


    Diphtheria D1 24/08/2013 - D.T.P. VACCINE
    Diphtheria D2 01/10/2013 - D.T.P. VACCINE
    Diphtheria D3 02/12/2013 - D.T.P. VACCINE
    Diphtheria B1 23/12/2014 - D.T.P. VACCINE
    Diphtheria B2 25/08/2018 - D.T.P. VACCINE
    Measles D1 14/07/2014 - MEASLES VACCINE
    Measles D2 21/12/2014 - PRIORIX VACCINE
    Measles B1 05/12/2018 - PRIORIX VACCINE
    Vaccinations Taken by Child Applicant
    Hepatitis B D2 01/10/2013 - ENGERIX-B VACCINE 10 mcg/0.5 ml
    Hepatitis B D3 02/12/2013 - ENGERIX-B VACCINE 10 mcg/0.5 ml
    Polimyelitis D1 24/08/2013 - POLIO SABIN (ORAL) VACCINE
    Polimyelitis D2 01/10/2013 - POLIO SABIN (ORAL) VACCINE
    Polimyelitis D3 02/12/2013 - POLIO SABIN (ORAL) VACCINE
    Polimyelitis B1 23/12/2014 - POLIO SABIN (ORAL) VACCINE
    Polimyelitis B2 25/08/2018 - POLIO SABIN (ORAL) VACCINE
    Tuberculosis D1 16/07/2013 - B.C.G. VACCINE
    Chickenpox D1 29/01/2016 - VARILRIX VACCINE
    Hepatitis A D1 19/09/2015 - HAVRIX VACCINE 720 elisa units/ml
    Mumps D1 05/12/2018 - PRIORIX VACCINE
    Rubella D1 05/12/2018 - PRIORIX VACCINE
    Hepatitis B D1 24/08/2013 - ENGERIX-B VACCINE 10 mcg/0.5 ml

    Uploaded Documents
    Child's Travel Document Vimit Passport.pdf
    Child's Birth Certificate Vimit Birth Certificate.pdf
    Singapore Immunisation Vimit Vaccine Form- signed.pdf
    Original Immunisation Vimit Vaccine.pdf
    Parent/ Guardian's Nilesh Passport.pdf
    Singapore ID card. Nilesh Jain IPA.pdf

    Payment amount via eNETS: S$ 35.00

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