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COVID 19 Vaccination Request form

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By submitting the form, I accept the Terms & Conditions of usage of the data and consent to the same. I am aware that the information on this form will be sent to Gleneagles Global Hospital and will be used in accordance with their user consent & data usage policy & privacy policy. I am also aware that the data may be used for further use including remarketing.

How to register for COVID 19 Vaccination via CoWin portal/app

  • Step 1: Log on to www.cowin.gov.in/CoWin App.
  • Step 2: Enter your mobile number.
  • Step 3: Get an OTP to create your account.
  • Step 4: Enter the OTP and click on the “Verify" button.
  • Step 5: You will be directed to the registration of the vaccination' page.
  • Step 6: On this page, there will be an option to choose one photo ID proof.
  • Step 7: Fill in your name, age, gender and upload an identity document.
  • Step 8: Click on the “Register" button. Once the registration is completed; the system will show the “Account Details".
  • Step 9: A citizen can further add three more people linked with this mobile number by clicking on the “Add More" button.
  • Step 10: There will be a button indicating 'Schedule appointment'.
  • Step 11: Now click on it.
  • Step 12: Search for Gleneagles Global Hospital, Lakdi-ka-pul as your vaccination center.
  • Step 13: Date and availability will also be displayed. Click on the 'book' button.
  • Step 14: On successful completion of booking, you will receive a message.
  • Step 15: That confirmation details will have to be shown at the vaccination centre.

Keynotes to remember, when going for COVID-19 vaccination

  • Please Carry the Photo ID card mentioned in your appointment details for Covid vaccination
  • If you have any comorbidities, please carry a medical certificate with you for the vaccination appointment
  • You can also call the CoWIN helpline number 1075 for any additional details


Get In Touch

Get in touch with us for all related queries. The hospital is available round-the-clock for all emergencies and in stipulated hours for regular appointments.

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