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INTERNATIONAL (EU) COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL (EROPA)


Number / Nomor :
624446041

DETAILS / RINCIAN

Full Name
ABY WIDYAN PRATAMA
Nama
Lengkap

National Identity Number


3509072002010002
NIK

Passport Number
C7044685
No.
Passport

Date of Birth 2001-02-20


Tanggal
Lahir

  
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination
Dose Number
Country of Vaccination
Vaccine Manufacturer
Type
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Type Batch ID

14-Oct-2021 First / Pertama Indonesia CoronaVac 1 202108146H

30-Mar-2022 Second / Kedua Indonesia COVID-19 Vaccine Pfizer 2 35020BD

28-Sep-2022 Third / Ketiga Indonesia COVID-19 Vaccine Pfizer 3 P0001384

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.

EU Digital Documentation for COVID-19


Certificates Format

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