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BCCT Covid-19 Vaccination Group

List open to employees of BCCT member companies of any nationality, age or location in Thailand, and anyone at least 60 years of age or with one of 7 stated chronic illnesses.

Details

I wish to give my details to the British Chamber of Commerce Thailand (BCCT) which will then work with the Department of Disease Control (DDC) at the Thai Ministry of Public Health (MOPH) in order to try to secure appointments for vaccination against Covid-19.

Name & Contact Information

Name

Nationality

Title

Male

Female

Date of Birth

Address Line 1

Address Line 2

City

Province

Post Code

Tel #

Passport

Thai ID / Vaccine ID for Non-Thai

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Please enter either your Passport Number (for Non-Thai only) or Thai ID Number / Vaccine ID for Non-Thai
At least ONE of these fields must be completed!

Please complete the following

1st Vaccine

2nd Vaccine

or Booster

If your request is for a 2nd or Booster vaccine,
please complete the 13 digit number (Thai ID) that the Ministry of Public Health provided when you received your 1st vaccine.

*** If you have already had a vaccination, please enter the date and Vaccine Type ***

1st Vaccination Vaccine Type

2nd Vaccination Vaccine Type

If you work for a Company, please enter the name of your Company here:

Company Name

Please confirm

By submitting my details to the BCCT, I understand that all information will be kept Private and Confidential. I accept that the BCCT does not in any way guarantee obtaining a Covid-19 vaccination appointment. In addition I understand that the BCCT may contact me by phone or email as necessary.

Security-Code Security Code

Enter Security-Code here...