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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
380323478

DETAILS / RINCIAN

Full Name
ELSA SITI AMINAH
Nama
Lengkap


   National Identity Number
3273104608950001
NIK

Passport Number

No.
Passport

Date of Birth 1995-08-06


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

13-Jul-2021 First / Pertama Indonesia CoronaVac 24002521

12-Aug-2021 Second / Kedua Indonesia CoronaVac 24002821

05-Mar-2022 Third / Ketiga Indonesia AZD1222 D202109011

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

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