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x Uis9i oS gece ing taut Able OME ALIMIED MOUAMMILD MOHAMMED PAYWAZALE yo. pe AD bak sal po | (We, aasusaor nA, Passport No. M0295 pl leds Nataly aa tia Bho Tne or hes ‘ ~ S Asa sb POR Uy) ged No COVID.19 PCR test rest have en fo faccine Type Bt sh ». Sa PlversoNtech er Fes Dove Date unt-ay.24 ine yu Second Dose Date amas Lie wes @ Aut ge cls agg ly Sa heal stats dest pte natal surance saan uray ly © scanned with OKEN Scanner (19-a3698) ligy9S yugyld asnbail cotball ysl COVID-19 Vaccine Medical Report Full Name (OMER AHMED MOHAMMED MOHAMMEDFAYYAZALL Je ld sane sane ssl yar ell 'O Number 2254443662 2254093662 ‘sally Date of birth 15Sep1983 1983 atu 15 sally Nationality India all aaa Vaccine Type yf syghnc Orford-Astrazeneca elles Date 2021-03-24 2021 yale 26 aut Batch Number 41207019 1202019 ay ay Vaccine Type hoy ih Pfizee-ioNTech sabes Date 2021.07.14 2021 guy 14 ‘ust Batch Number 2aL1s0A 2811584 aks, ys gzuall yall all aval B49 5 Go psAill Lin jl a ‘sgn yall lll op Syogolal olagl agl dgll lala gpl eal la ‘This Report has been issued bythe Ministry af Health, Kingdom of Saudi Abia ‘This eportis intended tobe used for medial purposes outsde the Klngdom of Saud Arabia, nthe counties that are ntintgated wth ‘the Kingdom's government systems, Kindly scan the QR code to valldate Report No. yA ay ne ga Stall ag6,ill ante cae vec14o721117851 la this report nntpe//VaccineCertificatesehhatysa hutpsy/VaccineCertficate sebhaty sa Gpwmem snh gasa | 937 |) SavdlMOH | MOHPora [7 SaudIMOH (Saud MOH © scanned with OKEN Scanner aauall ayljg Ministn off sh (19-a4695) Ligygs gugyl aisbil «abil jail COVID-19 Vaccine Medical Report FutNeme _OMER AHMED MOHAMMED MOHAMMED FAYYAZ Aly le valib sana sane asl jar eal 'ONumber 2aseeaaser 2asaaaase2 ‘gall dy Dareof bith 15Sep1983 1983 yatan 15, slant Nationatny India ial aia ‘Vaccine Type Oxford-Astrazeneca ail spies exabill esi First Dose Date 24Mar2021 2022 yale 24 laeallguts | Segall yall lal nll Jb lin aol ob | ell aves ia ad hl Scala ae | ‘This Reporthas been sued by the Ministy of Health, Kingdom of Saudi Arabia ‘This documents to be used fr medical purposes only and not sa travel permit ‘indly scan the QR code to valdate Report No, sil gy Ino 00 Gaal ag6lame ays ‘his eport vecesosai116752, sali bttpsy MaccineCerifcate sshhatysa hetp:fVaccineCertfiatesehhatysa © scanned with OKEN Scanner

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