H1N1 vaccination

CRISIL has organised H1N1 vaccination camp on 14th, 15th and 16th April. The vaccine is being given at a subsidized rate of INR 448/- per person (actual cost is INR 1000/-). In case we have a good participation from our end, this drive can be arranged at our office on either of these 3 days. Vaccine can be purchased for family members also. Please fill in your responses latest by 2 pm IST tomorrow.
Name: 


A red asterisk (*) indicates required questions.

  1. Do you wish to get yourself vaccinated?*
    Yes
    No


  1. Would you want to purchase vaccination for family member/s? If yes, how many doses would you want to purchase?





Trainer Administrator
CDSIPL
Navi Mumbai