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State of Kuwait Ministry of Health SARS-COV-2 Vaccination Certificate Kuwait Ministry of Health certifies that the below ss pak gi named individual has been vaccinated against ay daa 5, SARS-CoV-2 as detailed below: N12 putt hy Maal Bly at 59 ag a analy 98 Os eee LS eae ae at geste el Nam MELORCODE ATHERISA MOOSA Civil ID: 270071701867 vaginal LL Passport No: 22518541 thal ib Nationality: Indian “Ayuiall Date of Birth : 47/07/1970 7 Dll a jen | gut | Aedall dy OSA Agaull as yall Dose Date | BatchNo Location Vaccine Company Dose1 | 07/04/2021] 41212037 ES AstraZenecalOxford Dose2 | 01/07/2021| 41212104 insta AstraZoneca/Oxford Booster 1 | 06/02/2022| P0001305 Mishref Vaccination Center Hall 5, Kuwait Pfizer-BioNTech Ith Profession: AN AN DAVID ALMAREZ BIN AAN SOs acct Gu jlaall Center/Location: i gh 6 all pal Kuwait Vaccination Center, Kuwait a9, pail i 1 350 Date of Issue: 06/02/2022 6/02/2022 Jane fy GAS ST gl ling Vy Snead 613 8 acne gg Le Gal lf Cy naa 41 gl OMG Ge Ua yl aL so 8 Hye BO al as he ls Ch ll dH / aad / eS Le gh This report was created electronically through the Ministry of Health's system, and the name of the doctor on the form is approved by the Ministry of Health and does not require a stamp or signature ‘Any unauthorized manipulation of the form willbe subject to legal action as per the laws of the State of Kuwait

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