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AICEIA KOLKATA
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Official Drive Registration

Vaccination Drive — Data Collection Form

Please furnish authentic beneficiary and CoWIN identity records. Submitted information will be synchronized directly with hospital authorities for token generation.

Important Notice: All details must be furnished accurately for CoWIN slot allotment. Ensure that your mobile number and government identity card match your registered profile on cowin.gov.in.

1. Candidate & Officer Referral Information
2. CoWIN Photo Identification Proof
3. Inoculation Dose Selection
All fields marked with * are required.