International COVID-19 Vaccination Certificate

Proof of Vaccination Issued by AUS Version 1 UVCI VB0066869544

Australian
Government
International Name of the holder: KULASOORIYA, KULASOORIYA
COVID- ARACHCHILLAGE SASIDU
19
Vaccination
AMILA
Certificate Date of birth: 1986-05-28
Proof Sex: M
of
Vaccination
Passport number: N7265954
Issued
Visible Digital Seal (VDS-NC)
by Authorities can verify that this document is true and
AUS unaltered with a QR reader that checks against Australia's
ePassport Country Signing Certificate Authority public key.
Version
1
Unique
Vaccination
Protect the QR code from marks and damage
Certificate
Identifier
VB0066869544
VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) Pfizer Comirnaty RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2021-09-13 1 AUS General Practitioner FF8222

2021-10-04 2 AUS General Practitioner FG3712

2022-02-12 3 AUS State Health FH3221

This document bears a Visible Digital Seal for a Non-Constrained Environment (VDS-NC), as specified by the International
Civil Aviation Organization. UVCI means 'Unique Vaccination Certificate Identifier', XM68M6 and RA01.0 are World Health
Organization codes for COVID-19.

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