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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 124169021

DETAILS / RINCIAN

Full Name HAYDAR ALI


Nama Lengkap

National Identity Number 3214041211030003


NIK

Passport Number
No. Passport

Date of Birth 2003-11-12


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

30-Sep-2021 First / Pertama Indonesia CoronaVac 1 202108138H

12-Jan-2023 Second / Kedua Indonesia COVID-19 Vaccine Pfizer 2 FX2761

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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