INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor : 356935071

DETAILS / RINCIAN

Full Name Darma Bonar Tampubolon

Nama Lengkap

National Identity Number 3674031312680001

NIK

Passport Number E1435739

No. Passport

Date of Birth 1968-12-13

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

10-Jul-2021 First / Pertama Luar Negeri Sinopharm 1/3 008134583J

02-Aug-2021 Second / Kedua Luar Negeri Sinopharm 2/3 21887861

04-Aug-2022 Third / Ketiga Luar Negeri Sinopharm 3/3 DKF211299403J

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