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19 - ‫ﺷﻬﺎﺩﺓ ﻣﻄﻌﻮﻡ ﻛﻮﻓﻴﺪ‬

COVID - 19 Vaccination Certification

Personal Number : 8006525609 8006525609 : ‫ﺍﻟﺮﻗﻢ ﺍﻟﺸﺨﺼﻲ‬


Passport Number : 09641760 09641760 : ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬
Nationality : Yemen ‫ ﺍﻟﻴﻤﻦ‬: ‫ﺍﻟﺠﻨﺴﻴﺔ‬
OMAR GAAFAR MOHAMMED SAIF
Name :
BAGGASH
‫ ﻋﻤﺮ ﺟﻌﻔﺮ ﻣﺤﻤﺪ ﺳﻴﻒ ﺑﺠﺎﺵ‬: ‫ﺍﻻﺳﻢ‬

Date of Birth : 04/09/2002 04/09/2002 : ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Reference No. : N3TBT78VPH N3TBT78VPH : ‫ﺍﻟﺮﻣﺰ ﺍﻟﻤﺮﺟﻌﻲ‬

Healthcare Center ‫ ﺍﻟﻤﺮﻛﺰ‬Date ‫ ﺍﻟﺘﺎﺭﻳﺦ‬Lot No. ‫ ﺭﻗﻢ ﺍﻟﺘﺸﻐﻴﻠﺔ‬Vaccine ‫ ﺍﻟﻤﻄﻌﻮﻡ‬Dose ‫ﺍﻟﺠﺮﻋﺔ‬


‫ﺧﺎﺭﺝ ﺍﻷﺭﺩﻥ‬ ‫ﺟﻮﻧﺴﻮﻥ ﺁﻧﺪ ﺟﻮﻧﺴﻮﻥ‬
13/01/2022 201A21A 1
Outside Jordan Johnson & Johnson
‫ﻣﺴﺘﺸﻔﻰ ﺍﻻﻣﻴﺮ ﺣﻤﺰﺓ‬ ‫ ﺑﻴﻮﻧﺘﻴﻚ‬/ ‫ﻓﺎﻳﺰﺭ‬
13/03/2022 FM3496 2
Prince Hamzah Hospital Pfizer-BioNTech

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