COVID-19 VACCINATION CERTIFICATE

Full Name:
JOSE DE GUZMAN BULATAO

Date of Birth: Passport No.:

17-Jun-1963 P8070669B

Issuer:
Philippine Department of Health

Issuance Date and Time:

21-May-2022 07:58 AM

This is a secure QR code and can be

verified by using
the
scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 533303242

Date of Vaccine/
Brand,
Country of
Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

BNT162b2 (Pfizer-
COVID-19 vaccine, RNA-
1 30-Jun-2021
based
BioNTech),
FD5996 Philippines
Pfizer-BioNTech

BNT162b2 (Pfizer-
COVID-19 vaccine, RNA-
2 21-Jul-2021
based
BioNTech),
FD5996 Philippines
Pfizer-BioNTech

BNT162b2 (Pfizer-
COVID-19 vaccine, RNA-
3 31-Mar-2022
based
BioNTech),
FN4365 Philippines
Pfizer-BioNTech