INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor :
100000553

DETAILS / RINCIAN

Full Name
Junita Rangkuti, Am.Keb
Nama
Lengkap

   National Identity Number
1203046206890005
NIK

Passport Number

No.
Passport

Date of Birth 1989-06-22

For further details, please visit Tanggal
Lahir
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

11-Feb-2021 First / Pertama Indonesia CoronaVac 202009009

26-Feb-2021 Second / Kedua Indonesia CoronaVac 202009009

01-Sep-2021 Third / Ketiga Indonesia Moderna 939900

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