Szczecin, date…………………… DECLARATION I, ……………………......................... passport holder no. ……………….... born on ………………………., hereby declare that I am not immunized against virus HepB. The immunization will be completed during the first year of studies. …………………................. (signature)
Szczecin, date…………………… DECLARATION I, ……………………......................... passport holder no. ……………….... born on ………………………., hereby declare that I am not immunized against virus HepB. The immunization will be completed during the first year of studies. …………………................. (signature)
HepB-declaration.docx