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‫ﺷﻬﺎﺩﺓ ﻣﻄﻌﻮﻡ ﻛﻮﻓﻴﺪ ‪19 -‬‬

‫‪COVID - 19 Vaccination Certification‬‬

‫‪National Number‬‬ ‫‪: 9591009533‬‬ ‫‪9591009533 :‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻮﻃﻨﻲ‬


‫‪Name‬‬ ‫‪: Subhi‬‬ ‫‪Ahmad Fayyad AlDobosh‬‬ ‫‪ :‬ﺻﺒﺤﻲ ﺍﺣﻤﺪ ﻓﻴﺎﺽ ﺍﻟﺪﺑﻮﺵ‬ ‫ﺍﻻﺳﻢ‬
‫‪Date of Birth‬‬ ‫‪: 01/07/1959‬‬ ‫‪01/07/1959 :‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬
‫‪Reference No.‬‬ ‫‪: 3MOFKUN8PJ‬‬ ‫‪3MOFKUN8PJ :‬‬ ‫ﺍﻟﺮﻣﺰ ﺍﻟﻤﺮﺟﻌﻲ‬

‫ﺍﻟﻤﺮﻛﺰ‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‬ ‫ﺭﻗﻢ ﺍﻟﺘﺸﻐﻴﻠﺔ‬ ‫ﺍﻟﻤﻄﻌﻮﻡ‬ ‫ﺍﻟﺠﺮﻋﺔ‬


‫‪Center‬‬ ‫‪Date‬‬ ‫‪Lot Number‬‬ ‫‪Vaccine‬‬ ‫‪Dose‬‬

‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻠﻂ ﺍﻟﻘﺪﻳﻢ‬ ‫ﻓﺎﻳﺰﺭ ‪ /‬ﺑﻴﻮﻧﺘﻴﻚ‬


‫‪02/03/2021‬‬ ‫‪ER0866‬‬ ‫‪1‬‬
‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻠﻂ ﺍﻟﻘﺪﻳﻢ‬ ‫‪Pfizer-BioNTech‬‬

‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻠﻂ ﺍﻟﻘﺪﻳﻢ‬ ‫ﻓﺎﻳﺰﺭ ‪ /‬ﺑﻴﻮﻧﺘﻴﻚ‬


‫‪24/03/2021‬‬ ‫‪ER6166‬‬ ‫‪2‬‬
‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻠﻂ ﺍﻟﻘﺪﻳﻢ‬ ‫‪Pfizer-BioNTech‬‬

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