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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
129764731

DETAILS / RINCIAN

Full Name
DITRA RAMADHAN SUDJUDI
Nama
Lengkap


   National Identity Number
3203131804900004
NIK

Passport Number

No.
Passport

Date of Birth 1990-04-18


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
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis


Vaksin Batch ID

14-Aug-2021 First / Pertama Indonesia AZD1222 210045

17-Nov-2021 Second / Kedua Indonesia AZD1222 N004A

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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