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Curriculum Vitae for Investigator


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Name: M. 1.UkMAN l’resent Appointment: ¢!kfi (]JAI'A ñ N’J'kYj

Name of Institution & Department: PUSKESMAS MAUK

Address & Zip: KP. SAWAFI KI’. 18/04 DISA SASA K I f530

Contact (Tel , E-mail & Mobile): alontierJi3,gni‹lil.corn / 089654147371

Medical Reference/Licence number: N/A

Education (College, Universities, Other Training)

Name of Institution £O1T1 To Major Degree

SENIOR HIGH SCHOOL 2000 2003 N/A N/A

Previous Appointments

Name of Institution Position To

PUSKESMAS MAUK DATA ENTRY 2018 2022

Research Experience
A Global, Multi-center, Randomized, Double-Blind, Placebo-controlled, Phase III Clinicd Study to
Evduate the Protective Efficacy, Safety and Immunogenicity of SARS-CoV-2 Messenger Ribonucleic
Acid (mRNA) Vaccine in Population Aged 18 Years and Older (Ongoing).

Year of GCP Training

2021

Professional Societies or Œganizations (Most Relevant)

Publications (Appropriate Box):

6-10 11-20 >20


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Investigator’s Signature: Date of Signature: (‘ — $J — T

Version 9.0/16 Nov 2020 template


SOPs Link: SOP-CO-05 Confidential Page 1 of 1

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