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‫ﺗﺴﺠﻴﻞ ﺍﻟﻘﺪﻭﻡ‬

Arrival Registration

Name KENZIO GAZZA ‫ﺍﻻﺳﻢ‬

Passport Number C7339510 ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Birthdate 2016-04-07 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Visa Number 6079618202 ‫ﺭﻗﻢ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

Nationality Indonesia ‫ﺍﻧﺪﻭﻧﻴﺴﻴﺎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

Departure Country Qatar ‫ﻗﻄﺮ‬ ‫ﺑﻠﺪ ﺍﻟﻤﻐﺎﺩﺭﺓ‬

Registration Number GDP2693380354 ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬

Registration Date 2022-04-26 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺘﺴﺠﻴﻞ‬

Vaccine Country Qatar ‫ﻗﻄﺮ‬ ‫ﺩﻭﻟﺔ ﺍﻟﺘﺤﺼﻴﻦ‬

‫ﺑﺎﻳﻮﻧﺘﻚ‬-‫ﺟﺮﻋﺘﻴﻦ ﻣﻦ ﻟﻘﺎﺡ ﻓﺎﻳﺰﺭ‬


Vaccine Type ‫ﻧﻮﻉ ﺍﻟﺘﺤﺼﻴﻦ‬
Two doses of Pfizer-BioNTech Vaccine

First Dose Date 2022-03-23 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺠﺮﻋﺔ ﺍﻷﻭﻟﻰ‬

Second Dose Date 2022-04-13 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺠﺮﻋﺔ ﺍﻟﺜﺎﻧﻴﺔ‬

Valid Until Date 2022-05-03 ‫ﺻﺎﻟﺢ ﺣﺘﻰ ﺗﺎﺭﻳﺦ‬

‫ ﺃﻗﺮ ﺑﺼﺤﺔ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﻤﺪﺧﻠﺔ ﻭﺃﻧﻪ ﺳﻴﺘﻢ ﺍﻟﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﻋﻨﺪ ﺍﺻﺪﺍﺭ ﻛﺮﺕ ﺻﻌﻮﺩ ﺍﻟﻄﺎﺋﺮﺓ ﻭﻓﻲ ﻣﻨﺎﻓﺬ ﺍﻟﺪﺧﻮﻝ ﻭﻋﺪﻡ ﺍﻻﻟﺘﺰﺍﻡ ﺑﻬﺬﻩ ﺍﻻﺷﺘﺮﺍﻃﺎﺕ ﺗﺠﻌﻠﻨﻲ ﻋﺮﺿﻪ‬-
.‫ﻟﻤﻨﻊ ﺍﻟﺪﺧﻮﻝ ﺍﻟﻰ ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ ﻭﺍﻟﺘﺒﻌﺎﺕ ﺍﻟﻘﺎﻧﻮﻧﻴﺔ‬

.(‫ ﻳﺸﺘﺮﻁ ﺣﻤﻞ ﺷﻬﺎﺩﺓ ﻭﺭﻗﻴﺔ ﻣﻌﺘﻤﺪﺓ ﻹﺛﺒﺎﺕ ﺃﺧﺬ ﺍﻟﻠﻘﺎﺡ ﻣﺼﺪﻗﺔ ﻣﻦ ﺍﻟﺠﻬﺎﺕ ﺍﻟﺼﺤﻴﺔ ﺍﻟﺮﺳﻤﻴﺔ ﻓﻲ ﺑﻼﺩ ﺍﻟﻤﺴﺎﻓﺮﻳﻦ ﺍﻟﻘﺎﺩﻣﻴﻦ )ﻭﺯﺍﺭﺓ ﺍﻟﺼﺤﺔ ﺍﻭ ﺟﻬﺔ ﺻﺤﻴﺔ ﻣﺨﻮﻟﺔ‬-

- I acknowledge that the entered information is correct and that the information will be verified when the boarding pass is issued and at the ports
of entry, and the failure to comply with these requirements makes me open to preventing entry to the Kingdom of Saudi Arabia and the legal

- It is required to carry an approved paper certificate to prove the vaccination, certified by the official health authorities in the countries of arriving
travelers (the Ministry of Health or an authorized health authority).

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