INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor :
109774556

DETAILS / RINCIAN

Full Name
YARDIMAN
Nama
Lengkap

National Identity Number

3273051711940002

  
NIK

Passport Number

No.
Passport

Date of Birth 1994-11-17

Tanggal
Lahir
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination
Dose Number
Country of Vaccination
Vaccine Manufacturer
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis

Vaksin Batch ID

22-Apr-2021 First / Pertama Indonesia CoronaVac 24002021

Vaccination is to protect ourselves and our families, neighbors and

protect Indonesian people and people worldwide.

Vaksinasi
melindungi diri kita, keluarga kita, tetangga dan melindungi rakyat
Indonesia dan manusia di seluruh dunia.

World Health Organization Digital Documentation for COVID-19

Certificates Format