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:
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Civil ID: 270071701867 vaginal LL
Passport No: 22518541 thal ib
Nationality: Indian “Ayuiall
Date of Birth : 47/07/1970 7 Dll a
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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:
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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
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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