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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
455254376

DETAILS / RINCIAN

Full Name
Nanang Fahruddin ZA, S.H.I
Nama
Lengkap


   National Identity Number
3215151111790002
NIK

Passport Number

No.
Passport

Date of Birth 1979-11-02


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
Type
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Type Batch ID

05-Mar-2021 First / Pertama Indonesia CoronaVac 24000521

19-Mar-2021 Second / Kedua Indonesia CoronaVac 24000521

27-Jan-2022 Third / Ketiga Indonesia AZD1222 A1117

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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