‫ﺷﻬﺎﺩﺓ ﻣﻄﻌﻮﻡ ﻛﻮﻓﻴﺪ ‪19 -‬‬

‫‪COVID - 19 Vaccination Certification‬‬

‫‪National Number‬‬ ‫‪: 9781043802‬‬ ‫‪9781043802 :‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻮﻃﻨﻲ‬

‫‪Name‬‬ ‫'‪: ALA‬‬ ‫‪SAEED ISSA MUJAHED‬‬ ‫‪ :‬ﻋﻼﺀ ﺳﻌﻴﺪ ﻋﻴﺴﻰ ﻣﺠﺎﻫﺪ‬ ‫ﺍﻻﺳﻢ‬
‫‪Date of Birth‬‬ ‫‪: 22/07/1978‬‬ ‫‪22/07/1978 :‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬
‫‪Reference No.‬‬ ‫‪: 31JPA1RUXO‬‬ ‫‪31JPA1RUXO :‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﻤﺮﺟﻌﻲ‬

‫‪Healthcare Center‬‬ ‫‪ Date‬ﺍﻟﻤﺮﻛﺰ‬ ‫‪ Lot No.‬ﺍﻟﺘﺎﺭﻳﺦ‬ ‫‪ Vaccine‬ﺭﻗﻢ ﺍﻟﺘﺸﻐﻴﻠﺔ‬ ‫ﺍﻟﺠﺮﻋﺔ ‪ Dose‬ﺍﻟﻤﻄﻌﻮﻡ‬

‫ﺣﺪﺍﺋﻖ ﺍﻟﻤﻠﻚ ﻋﺒﺪ ﺍﻟﻠﻪ‪/‬ﺍﻟﻤﻘﺎﺑﻠﻴﻦ ﺍﻟﺒﻮﺍﺑﺔ ﺍﻟﺸﺮﻗﻴﺔ ‪2‬‬ ‫ﻓﺎﻳﺰﺭ ‪ /‬ﺑﻴﻮﻧﺘﻴﻚ‬
‫‪11/09/2021‬‬ ‫‪FF8845‬‬ ‫‪1‬‬
‫ﻣﻦ ﺩﺍﺧﻞ ﺍﻟﺴﻴﺎﺭﺓ ‪Drive Through‬‬ ‫‪Pfizer-BioNTech‬‬