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  • Dependents Vaccination Status Form (4) 154724

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    Sohaib Azeem
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    This form provides vaccination status information for employee Sohaib Azeem and his dependents. It shows that Sohaib has received both doses of the COVID-19 vaccine and lists his three dependents - wife Farah, mother Uzma Azeem, and father Azeem ur Rehman. It notes that none of the dependents have been vaccinated, with reasons given for each such as pregnancy, high blood pressure, and diabetes.

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    This form provides vaccination status information for employee Sohaib Azeem and his dependents. It shows that Sohaib has received both doses of the COVID-19 vaccine and lists his three dependents - wife Farah, mother Uzma Azeem, and father Azeem ur Rehman. It notes that none of the dependents have been vaccinated, with reasons given for each such as pregnancy, high blood pressure, and diabetes.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Dependents Vaccination Status Form (4) 154724

    Uploaded by

    Sohaib Azeem
    This form provides vaccination status information for employee Sohaib Azeem and his dependents. It shows that Sohaib has received both doses of the COVID-19 vaccine and lists his three dependents - wife Farah, mother Uzma Azeem, and father Azeem ur Rehman. It notes that none of the dependents have been vaccinated, with reasons given for each such as pregnancy, high blood pressure, and diabetes.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Employee Dependents Vaccination Status Form

    Employee Name Sohaib Azeem Employee ID 154724

    Department Rector Office Designation Executive Secretary to Rector

    CNIC Number 34102-5311547-5 Date of Birth 9-Mar-90

    Vaccination status Vaccinated Not Vaccinated

    Vaccination Completion Status 1st Dose 2nd Dose Completed

    COVID-19 Vaccination Certificate Received Not Received

    Total No. of Dependents 3 No. Of Dependents Below 18 0 No . Of Dependents 18 and Above 3

    Dependents Vaccination Status

    Registered under If not


    Name Relation Marital Status Studying CNIC Number Date of Birth Social Security Vaccination Vaccination Not
    (Single/Married) (Yes/No) (1st Dose) (2nd Dose) vaccinated Vaccinated
    (Yes or No) (Reason)

    Farah Sohaib Wife Married No 34601-1834950-0 25-Sep-98 No Not Due to


    Pregnancy

    Uzma Azeem Mother Married No 34102-1792545-2 1-Jan-64 No Not High Blood


    Pressure
    Diabetes +
    Azeem ur Rehman Father Married No 34102-5172101-9 1-Jan-62 No Not Blood
    Pressure

    Remarks If any

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