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  • Icvc - Atikah Suaib 4

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    tika
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    This document provides proof of COVID-19 vaccination for Atikah Purnamasari. It lists her name, date of birth, sex, and passport number. It shows she received the Moderna Bivalent Spikevax vaccine in Australia on November 30th, 2022. Authorities can verify this certificate is authentic by scanning the QR code against Australia's ePassport public key.

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    ICVC - ATIKAH SUAIB 4

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    This document provides proof of COVID-19 vaccination for Atikah Purnamasari. It lists her name, date of birth, sex, and passport number. It shows she received the Moderna Bivalent Spikevax vaccine in Australia on November 30th, 2022. Authorities can verify this certificate is authentic by scanning the QR code against Australia's ePassport public key.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    58 views1 page

    Icvc - Atikah Suaib 4

    Uploaded by

    tika
    This document provides proof of COVID-19 vaccination for Atikah Purnamasari. It lists her name, date of birth, sex, and passport number. It shows she received the Moderna Bivalent Spikevax vaccine in Australia on November 30th, 2022. Authorities can verify this certificate is authentic by scanning the QR code against Australia's ePassport public key.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    International COVID-19 Vaccination Certificate

    Proof of Vaccination Issued by AUS Version 1 UVCI VB0055505945

    Australian
    Government
    International Name of the holder: SUAIB, ATIKAH PURNAMASARI
    COVID- Date of birth: 1994-10-31
    19
    Vaccination
    Sex: F
    Certificate Passport number: C6599736
    Proof
    of Visible Digital Seal (VDS-NC)
    Authorities can verify that this document is true and
    Vaccination unaltered with a QR reader that checks against Australia's
    Issued ePassport Country Signing Certificate Authority public key.
    by
    AUS
    Version
    1
    Unique
    Vaccination
    Protect the QR code from marks and damage
    Certificate
    Identifier
    VB0055505945
    VACCINATION EVENT
    Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
    XM68M6 (COVID-19) Moderna Bivalent Spikevax RA01.0 (COVID-19)

    Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

    2022-11-30 1 AUS Pharmacy 000462A

    This document bears a Visible Digital Seal for a Non-Constrained Environment (VDS-NC), as specified by the International
    Civil Aviation Organization. UVCI means 'Unique Vaccination Certificate Identifier', XM68M6 and RA01.0 are World Health
    Organization codes for COVID-19.

    Page 1 of 1

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