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INTERNATIONAL (TAWAKKALNA) COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL (TAWAKKALNA)

DETAILS / RINCIAN
Scanned by officer
Dipindai oleh petugas
Full Name SAMSIAH SUHUD ALI
Nama Lengkap

National Identity Number 1901034909790005


NIK

Passport Number C7013921


No. Passport

Date of Birth 09 Sep 1979


Tanggal Lahir

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacture Type Batch ID
Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Tipe Batch ID

15 Nov 2021 First / Pertama Indonesia COVID-19 Vaccine Pfizer 1/2 SDEU1

20 Dec 2021 Second / Kedua Indonesia COVID-19 Vaccine Pfizer 2/2 SDEU1

19 May 2022 Third / Ketiga Indonesia COVID-19 Vaccine Pfizer Additional PCB0010

Vaccination protect us, our nation, and everyone around the world.
Vaksinasi melindungi diri kita, bangsa kita, dan semua penduduk di dunia.

Tawakkalna Digital Documentation for COVID-19 Certificates Format

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