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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 167337663

DETAILS / RINCIAN

Full Name RUSTANDI SAPUTRA


Nama Lengkap

National Identity Number 8206012810050002


NIK

Passport Number
No. Passport

Date of Birth 2005-10-28


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

16-Aug-2021 First / Pertama Indonesia CoronaVac 1 24004121

01-Dec-2021 Second / Kedua Indonesia CoronaVac 2 202109145P

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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