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I've had my flu vaccination elsewhere...
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Question 1.

What is your first name?

- Required.
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Question 2.

What is your surname?

- Required.
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Question 3.

What is your date of birth?

- Required.
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Question 4.

What is your employee number? (This can be found by logging into your ESR portal.)

- Required.
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Question 5.

What is your home address postcode?

- Required.