COVID Vaccine Form

This form is only for NALSAR Students registered under the B.A.LL.B(Hons.), LLM and MBA Courses in NALSAR University of Law.

Name of Student *

Enter your full name

NALSAR Email ID *

Roll Number (20XX-5LLB / 1LLM / 2MBA-XYZ) *

Follow the format mentioned

Which Batch are you from? *Select Current Batch LLB - Batch of 2021LLB - Batch of 2022LLB - Batch of 2023LLB - Batch of 2024LLB - Batch of 2025LLB - Batch of 2026LLM 2020LLM 2021MBA - 19-21MBA - 20-22MBA - 21-23BBA - 21-26

Select Batch

Date of Vaccination *

Which Dose of Vaccine *

• 1st Dose (Double Dose Vaccines)
• 2nd Dose (Double Dose Vaccines)
• Single Dose (Single Dose Vaccines)

Which Vaccine *

Please mention the manufacturer name of vaccine / name used in common parlance

Proof of Vaccination (Optional)

Click or drag files to this area to upload. You can upload up to 2 files.

Not Mandatory. Maximum File Size 10 MB.

Other Comments

Submit

For results, click on the link below (Available to admins only)