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University Library
  • Personal Information

  • I. Vaccination Details

  • MM slash DD slash YYYY
  • II. Second Vaccination Dose Details (if applicable)

  • MM slash DD slash YYYY
  • III. Vaccination Booster Dose Details (if applicable)

  • MM slash DD slash YYYY
  • IV. COVID-19 Vaccination Record Card

  • Accepted file types: jpg, gif, png, Max. file size: 2 MB.
    Please upload a picture of the front of your COVID-19 Vaccination Record Card
    Supported File Types JPEG,PNG,GIF
  • Accepted file types: jpg, gif, png, Max. file size: 2 MB.
    Please upload a picture of the back of your COVID-19 Vaccination Record Card
    Supported File Types JPEG,PNG,GIF