lE some nests grag 4 Email}. - cteegz0.07 is insee THANE Sion earner y aanenT |e toes | year | Eeelnied Pacer an ems aN esni suena —— 3703/2020 - oarasra0t ee carer ‘0379377050 dy 10755, 00 enc 93/03/2020 os a oazo3/2043 as Sc 2/0030 reyoz7T9BS AuaT BABULAL GUPTA FLAT NO, 402, "A’WING. PATEL PRIDE NR ERISHNA MARRIAGE HALL-CHINCHPADS. AMBERNATH-W a2 \308" AMIT BABULAL GUPTA FLAT NO. 402, °A WING, PATEL PRIDE Na KRISHNA MARRIAGE : | HALL “CHINCHPADA 4MBERNATH-W . [Seereraagee oe 2 SUNITA GUPTA 16 wife 100% ar) fe/mhe duly stamped e-Policy has been digitally signe Seer s0/o4ra020 ane agua MUDRANK Consol idsted Stamp Duty General fice Mumbai vide letter of fda tion No CSD/270/2019/6330 tuctesAd bdr! 2019 Page «120BN STE SSS VOY PACING. (WITH PROFTER) eS Nee Gece sccm PRE TR: tre oF S"Reneral Stier Se hace Theor of 5 atetharins \iche MemiBRLSTU ADA A330 2 Aah DOKL et te eg hee eee Manners ere : mEroT 200" THY etaaie nal CP meee ter igettaan be” fang, diqusnl gaa” int Ang ie ca ‘Agents Mobhe Mumba | Landline NumberMinistry of Health & Family Welfare Government of India Certificate for COVID-19 Vaccination Issued in India by Ministry of Health & Family Welfare, Govt. of India Certificate 1D 9n997764418 Beneficiary Details Beneficiary Name / mei ara ‘Amit Babulal Gupta Age at 36 Gender ft Mate ID Veriied / stesare ‘adhaar # XXXXXXXX5192 Unique Health ID (UHID) Beneliciary Reference ID 21392326592618 Vaccination Status / azo ct Fully Vaccinated (2 Doses) Vaccination Details Vaccinated By / afeargrt crafter PRATIDNYA PARDHE Vaccination At / aefereorey eras CON ORD. FACTORY AMBERNATH, Thane, Maharashtra Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer a 14un2021 covistao samoot oreo Serum nett of ‘cov. vaccine, 22 orsep 2021 cova aamnooam —— Sooreatmgioravecir Seti latte ofa + sive gar aftr fered Ger & Together, India will defeat COVID-19” (em Healticore Worker /Disvct Inmuniztion Ofice/State Helpline No. 1075 whoa ator rg sree pr ee an rrr ty sea mse fier eee fear aro et aes Rats wen a COWIN « ‘This canieate can be verted by seanning the GR code at riper cowngovin