Remote Overseas Vaccination Records Form

Recognition of Overseas COVID-19 Vaccinations Form

Part 1: Personal Particulars

Please put in the NRIC/FIN/Passport that was used to register TraceTogether.

Name (as per NRIC)

NRIC / FIN / Passport Number

Date of Birth

Gender

Male

Female

Contact Number

Email Address

Drug Allergies

Part 2: Doses

First Dose

Name of Vaccine

Manufacturer

Batch / Lot Number

Date of Vaccination

Second Dose

Name of Vaccine

Manufacturer

Batch / Lot Number

Date of Vaccination

Third Dose (If Applicable)

Name of Vaccine

Manufacturer

Batch / Lot Number

Date of Vaccination

Fourth Dose (If Applicable)

Name of Vaccine

Manufacturer

Batch / Lot Number

Date of Vaccination

I hereby declare that my personal information, attached vaccination certificate/documents is/are complete, true and accurate.

I have read the Terms & Conditions and fully agree to it.Terms & Conditions

An error occurred. Please try again later.

Your form has been submitted successfully, do give us 24 hours to contact you again.

Enrol Healthier SG With Us

Screenings

Medical Checkup

Other Services

Remote Overseas Vaccination Records Form

Recognition of Overseas COVID-19 Vaccinations Form

Part 1: Personal Particulars

Part 2: Doses

First Dose

Second Dose

Third Dose (If Applicable)

Fourth Dose (If Applicable)