COVID-19 Vaccination Survey

Javascript is disabled

Javascript is disabled on your browser. Please enable it in order to use this form.

COVID-19 Vaccination Survey

UITS Community*

Bangladeshi Student

Foreign Student

Faculty Members

Other Official

Full Name*

Name

Programs*

National Identification :*

NID No*

Write Here

Birth Certificate No*

Write Here

Student ID*

Write Here

Semester*

Vaccination Status*

Reason*

Write Here

Birth Registration Number*

Write your Birth Certificate No

Vaccination Certificate / Card / Others.

Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg,pdf | Max number of files: 2 | Min number of file: 1

Select Files

Faculty Name*

Write Here

National Identification No*

Write Here

Department Name*

Designation*

Write Here

Vaccination Status*

Reason*

Write Here

Birth Registration Number*

Write your Birth Certificate No

Vaccination Certificate / Card / Others.

Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg,pdf | Min number of file: 1

Select Files

Full Name*

Write Here

Student ID*

Student ID NO

Passport No*

Passport No

Programs*

Vaccination Status*

Reason*

Write Here

Passport Number*

Write your Passport No

Vaccination Certificate / Card / Others.

Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg,pdf | Min number of file: 1

Select Files

Name*

Write Here

Office*

Write Here

National Identification :*

NID No*

Write Here

Birth Registration Number*

Write your Birth Certificate No

Designation*

Write Here

Mobile*

Write Here

Vaccination Status*

Reason*

Write Here

Vaccination Certificate / Card / Others.

Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg,pdf | Min number of file: 1

Select Files

COVID-19 Vaccination Survey

Vaccination Certificate / Card / Others.

Vaccination Certificate / Card / Others.

Vaccination Certificate / Card / Others.

Vaccination Certificate / Card / Others.

Your form has been submitted

Server Side Error

Error

The University of Information Technology & Sciences is a private university in Baridhara, Dhaka, Bangladesh. It's the first IT based private university in Bangladesh.

Home

Services

Follow Us