Request Flu Vaccination

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Employee Information

National or Iqama Number *

*Please Enter National or Iqama Number

Employee Number * *Please Enter Employee Number

Do you have Medical number:

Yes
No
Yes But I Do Not Remember it

*Please Choose an option Please Enter Your MRN
*Phone Number is Required

Upload Family card*

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We will update your Medical record information base on your current entered data. So, please make sure to enter the right information.Also i don't have any fever or flu symptoms. I know and I agree