Interested in volunteering for COVID-19 Prevention Clinical Study?

The purpose of this screening registry is to create a list of potential volunteers who want to take part in current or future COVID-19 prevention clinical trials. You must be 18 years or older to participate. Participation involves completing a short online survey that includes some personal questions. Your participation is voluntary.

Enrollment form for COVID19 Vaccination

Enter Patient Name :	This Field is Required.
Enter Email ID :	This Field is Required.
Gender :	Male Female Other This Field is Required.
Date of Birth :	This Field is Required.
Phone Number :	This Field is Required.
Aadhar Card Number :	This Field is Required.
Have you any diseases? :	Hypertension Heart disease diabetes Lungs disease Kidney Disorder None of these This Field is Required.
	Please verify you are humann!