Vaccination Form | Altonvic

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Vaccination Form

Module
Name
Have you been vaccinated against COVID-19?*
- Yes
- No
How many doses have you had?*
- 1
- 2
Date of first vaccination*
Date of second vaccination*
Second vaccination scheduled for
Proof of most recent vaccination*
Accepted file types: jpg, png, pdf.
Are you planning on getting the vaccination?*
- Yes
- No
First vaccination scheduled for*
Do you have a medical exemption?*
- Yes
- No
Proof of medical exemption*
Accepted file types: jpg, png, pdf.

Alton Group of Companies

ABN. 40 078 051 993

Website:	www.altonvic.com.au
Phone:	1300 728 322
Adress:	Unit 2 496 Geelong Rd West Footscray Vic 3012

Founded in 1990, Alton is an Australian owned and operated labour hire contractor serving the Northern and Western suburbs of Melbourne. We’re a proud member of the community, consistently providing reliable service and high-quality short-term labour to local businesses for over 25 years.

Our customer service team is available any time from 6:00 AM - 5:30 PM, Monday-Friday. Contact us to get in touch today.