Registration Form for COVID-19 Vaccination in Nigeria – nphcdaict.com.ng/publicreg

nphcdaict COVID-19 Vaccination Registration Form/Portal 2021 – The Government of Nigeria through the National Primary Health Care Development Agency Unveils the Covid-19 Vaccination Registration portal for Nigerians.

Do you need the covid19 vaccination form is out? Do you know that Nigeria is scheduled to take the delivery of 3.92 million doses of the COVID-19 vaccine on Tuesday, 2 March 2021?

If you are looking for the Covid-19 Vaccination form for the nphcdaict.com.ng registration 2021

If you are interested in the Self-Registration COVID-19 Vaccine Introduction Checklist

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COVID-19 Vaccination Form 2021/2022

1. Full Name: Last name (Surname), First name (Given Names) and Middle name
2. Contact phone number
3. Email address
4. Is the exact date of birth known?
5. Enter your approximate age
6. Sex
7. Type of ID – Means of Identification
8. Residential Address
9. State of Residence
10. LGA of Residence
11. Ward of Residence
12. Select your preferred vaccination site
13. Do you work in the Health Sector?
14. Upload Photo (face only- passport)
15. Any known medical condition?
16. Any History of Allergies?

How to Register for nphcdaict.com.ng Registration for COVID-19 Vaccination 2021

Nigerians can register via the Electronic Management of Immunization Data (EMID) Registration Portal https://www.nphcdaict.com.ng/publicreg

Fill in the required information, upload your passport photograph and submit  your application.

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Note- you are to use an active email address and phone number for future usage.

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