CEP – Autumn 22 COVID booster vaccination sign up

Your Clinic Location/Site

Other Location

Title (Rank / Mr / Mrs etc)

First Name

Family Name

Date of Birth *

Contact Telephone Number

Contact Email address

I confirm that I am eligible for a COVID booster vaccination in line with JCVI criteria.

GDPR Agreement *

I consent to having the European Joint support Unit store my submitted information to enable them to perform support functions required by the Ministry of Defence. I understand that the information I provide will be shared with DPHC medical personnel who may contact me directly for clinical purposes.

I consent to having this website store my submitted information so they can respond to my inquiry.

European Joint Support Unit