Registration

Choose Your Preferred Slot to Get Vaccinated.

Apply Now

Just Follow these Simple Steps to Book Your Slot

Fill Fill the Below form.

System will Process and Prioritize your Appointment.

You Will Recieve a mail for Confirmation.

Reach on time and get Vaccinated.

Name

Age

Sex(Male/Female)

Are you a Working Person?(YES/NO)

Are you a Corona Warrior?(YES/NO)

Are You A Diabetes Patient?(YES/NO)

Are You A BP Patient?(YES/NO)

Do You Have any Heart Disease?(YES/NO)

Choose a Center?(1-5)

1.delhi

2.Mumbai

3.Banglore

4.Surat

5.Jaipur

At your Nearest Covid Center

+91 XXXXXXXXXX

Vaccine@gmail.com