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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 431843447

DETAILS / RINCIAN

Full Name ASEP ADI SAPUTRA


Nama Lengkap

National Identity Number 1803040109020003


NIK

Passport Number
No. Passport

Date of Birth 2002-09-01


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

01-Sep-2021 First / Pertama Indonesia Moderna 1 023D21A

04-Oct-2021 Second / Kedua Indonesia Moderna 2 023D21A

06-Apr-2022 Third / Ketiga Indonesia Pfizer 3 220067

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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