Meningitis ACWY Tick-borne Japanese Other: or B: Encephalitis: Encephalitis: Medical Student Declaration I certify that the travel arrangements for which I am requesting travel advice and vaccination has approval by my Head of Department or my Departmental Central Administrator. N.B. This travel relates solely to journey(s) to be taken on official University of Oxford business. Signed: Date: The information collected on this form is processed in accordance with the principles of the Data Protection Act 1998. All information you provide is held securely in confidence as part of your medical record by the Occupational Health Service
Meningitis ACWY or B: Tick-borne Encephalitis: Japanese Encephalitis: Other: Medical Student Declaration I certify that the travel arrangements for which I am requesting travel advice and vaccination has approval by my Head of Department or my Departmental Central Administrator. N.B. This travel relates solely to journey(s) to be taken on official University of Oxford business. Signed: Date: The information collected on this form is processed in accordance with the principles of the Data Protection Act 1998. All information you provide is held securely in confidence as part of your medical record by the Occupational Health Service