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    This document is an international COVID-19 vaccination certificate for Stanley Timothy Oslijanto. It provides his personal details including full name, national identity number, passport number and date of birth. It also lists the dates, locations, vaccine manufacturers, doses and batch IDs for the three COVID-19 vaccinations he received in Indonesia. The purpose of vaccination is to protect oneself, families, neighbors and people worldwide from COVID-19.

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    This document is an international COVID-19 vaccination certificate for Stanley Timothy Oslijanto. It provides his personal details including full name, national identity number, passport number and date of birth. It also lists the dates, locations, vaccine manufacturers, doses and batch IDs for the three COVID-19 vaccinations he received in Indonesia. The purpose of vaccination is to protect oneself, families, neighbors and people worldwide from COVID-19.

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

    PDF Document

    Uploaded by

    Stanley Timothy
    This document is an international COVID-19 vaccination certificate for Stanley Timothy Oslijanto. It provides his personal details including full name, national identity number, passport number and date of birth. It also lists the dates, locations, vaccine manufacturers, doses and batch IDs for the three COVID-19 vaccinations he received in Indonesia. The purpose of vaccination is to protect oneself, families, neighbors and people worldwide from COVID-19.

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    INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

    SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


    Number / Nomor : 780956080

    DETAILS / RINCIAN

    Full Name STANLEY TIMOTHY OSLIJANTO


    Nama Lengkap

    National Identity Number 3578082509890001


    NIK

    Passport Number B9671005


    No. Passport

    Date of Birth 1989-09-25


    For further details, please visit Tanggal Lahir
    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

    23-Apr-2021 First / Pertama Indonesia AZD1222 1/2 CTMAV514

    21-Jul-2021 Second / Kedua Indonesia AZD1222 2/2 ABY1911

    22-Jan-2022 Third / Ketiga Indonesia Moderna Additional 018F21A

    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.

    World Health Organization Digital Documentation for COVID-19 Certificates Format

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