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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
852567468

DETAILS / RINCIAN

Full Name
TIARA DEWI TINA SANTOSO
Nama
Lengkap


   National Identity Number
3174084902860003
NIK

Passport Number
C4906767
No.
Passport

Date of Birth 1986-02-09


For further details, please visit Tanggal
Lahir
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

27-Aug-2021 First / Pertama Indonesia Moderna 1/2 023D21A

12-Nov-2021 Second / Kedua Indonesia Moderna 2/2 023D21A

10-Feb-2022 Third / Ketiga Indonesia Moderna Additional 000115

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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