11/10/2023, 20:05 King Institution :: Isky Techies

*K180391*

Name SebastianDison Arockia Samy

Register ID KING226758

Amount Paid 500

Transaction Status Success

Date of Birth 25/12/1999

Age 24

Gender Male

Passport No T3689687

Passport Expiry Date 22/10/2029

Mobil Number 8072068264

Email ID [email protected]

Country of Visit Tanzania

13/10/2023 * Reporting time prior to 9:15 AM

Appointment Date
mandatory

Allergic for Egg No

Have you Tested for COVID 19 Earlier

COVID 19 Result

a) Thank you for your payment

b) Payment made by you to KIPMR will be updated on actual realization only.

c) Please note the transaction id for further reference. This is a system generated receipt do not require any
signatures.

TERMS AND CONDITIONS

1. PROTECTIVE FACE MASK IS COMPULSORY.
2. SOCIAL DISTANCING TO BE MAINTAINED AND STRICTLY FOLLOWED DURING
VACCINATION. 3. BRING YOUR OWN PEN (BLUE / BLACK BALL POINT ONLY). 4. KIDS AND
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OLD PEOPLE MAY COME FOR VACCINATION AT THEIR OWN RISK ONLY. 5. FEE ONCE PAID
SHALL NOT BE REFUNDED AND YOU SHALL BE REQUIRED TO REGISTER AGAIN FOR
VACCINATION IN CASE OF FAILURE OF APPEARANCE ON THE DAY OF REGISTRATION.
6. YOU SHOULD REPORT AT JENNAR HALL, KIPMR STRICTLY BEFORE 10:30 AM ON
SCHEDULED DATE.
7. BRING ORIGINAL PASSPORT & BRING THE SOFT COPY OF THE APPOINTMENT.
8. HAVE BREAKFAST BEFORE COMING FOR VACCINATION.DON’T TAKE VACCINE ON AN
EMPTY STOMACH.
9. WEAR LOOSE AND SHORT SLEEVES WHILE COMING FOR VACCINATION.
10. VALIDITY OF YELLOW FEVER VACCINATION IS NOW LIFETIME. REVACCINATION NOT
REQUIRED AFTER 10 YRS FOR THOSE ALREADY VACCINATED.
11. IF YOU ARE VACCINATED WITH ANY OTHER VACCINES, OTHER THAN YELLOW FEVER
WITHIN LAST 4 WEEKS, KINDLY REGISTER FOR APPOINTMENT AFTER 4 WEEKS FROM
YOUR DATE OF LAST VACCINATION.
12. SEND YOUR QUERIES TO [email protected]
13. IF ANY CLARIFICATIONS ABOUT VACCINE PLEASE CONTACT 044-22500592 (BETWEEN
10 AM TO 5 PM ON ALL WORKING DAYS) REGISTRATION TECHNICAL SUPPORT CONTACT
NO.8940996552.
INFORM THE DOCTOR
14. ANYONE WITH ALLERGY TO EGGS, CHICKEN PROTEINS OR GELATIN, DO NOT
PROCEED WITH ONLINE REGISTRATION.
15. WHO HAD A SEVERE ALLERGIC REACTION TO A PREVIOUS DOSE OF YELLOW FEVER
VACCINE (TELL YOUR DOCTOR IF YOU HAVE ANY SEVERE ALLERGIES)
16. PREGNANCY SHOULD BE POSTPONED TO MINIMUM OF 3 MONTHS AFTER
VACCINATION. IF ALREADY PREGNANT, VACCINE SHOULD NOT BE TAKEN.
17. IF YOU HAVE DRUG ALLERGY FOR KANAMYCIN AND ERYTHROMYCIN, CONSULT THE
DOCTOR. 18. IF YOU ARE LACTATING MOTHER,AND YOUR KID IS LESS THAN 9 MONTHS,
YOU SHOULD AVOID FEEDING FOR ONE WEEK AFTER VACCINATION.
19. CHILDREN YOUNGER THAN 12 MONTHS OF AGE (AS PER EXISTING NORMS OF GOVT.
OF INDIA) CONSULT THE DOCTOR.
20. PEOPLE WITH FEVER ,& COLD DEFER VACCINE FOR ATLEAST ONE WEEK.
21. BRING YOUR MEDICAL RECORDS HISTORY IF ANY, INCLUDING DRUG PRESCRIPTIONS
TAKEN DURING LAST 3 MONTHS.
FOR PERSONS COMING DIRECTLY WITHOUT ONLINE APPOINTMENT
22. THE VACCINATION SERVICES ARE TO BE PROVIDED ON THE FIRST COME FIRST
SERVED BASIS
23. THE REGISTRATION / TOKEN DISTRIBUTION SYSTEM MAY BE FOLLOWED TO
MAINTAIN THE FIRST COME FIRST SERVED SYSTEM.
24. AT TIME OF REGISTRATION, THE TRAVEL DOCUMENT (PASSPORT / XEROX COPY DULY
ATTESTED BY THE CANDIDATE) IS TO BE CHECKED AND ALL THE VACCINEES ARE
INSTRUCTED TO READ THE NECESSARY INFORMATION REGARDING YELLOW FEVER
VACCINATION GIVEN BELOW BEFORE PROCEDDING TO THE REGISTRATION.
25. THE VACCINEES ARE INFORMED TO BRING/KEEP THE TRAVEL DOCUMENT
(PASSPORT)ANDTHE VACCINATION FEES RS.500/- WITH THEM AT THE VACCINATION TIME.
26. ALL THE VACCINEES COMING OVER DIRECTLY WITHOUT ONLINE REGISTRATION ARE
INSTRUCTED TO WAIT IN THE WAITING AREA AND THE VACCINEES ARE CALLED FOR
VACCINATION IN BATCHES OF 1O PERSONS IN VACCINATION ROOM.
27. THE VACCINEES ARE INFORMED TO READ ABOUT THE SIDE EFFECTS/ADVERSE
REACTIONS AND OTHER RELATED INFORMATION ABOUT YELLOW FEVER VACCINATION.
28. THE INFORMED CONSENT IS TO BE TAKEN FROM ALL THE VACCINEES.

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29. THE ENTRIES ARE FILLED UP IN THE VACCINATION REGISTER FROM TRAVEL
DOCUMENT (PASSPORT) & SUBSEQUENTLY THE FEE FOR THE VACCINATION IS
COLLECTED. THE RECEIPT FOR THE SAME IS GIVEN TO VACCINEE.
30. THE VACCINEES ARE DIRECTED TO COMPLETE THE ENTRIES RELATED TO VACCINE IN
WHO YELLOW FEVER VACCINATION CARD AND DIRECTED FOR VACCINE INOCULATION.

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