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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 529279172

DETAILS / RINCIAN

Full Name Fressa


Nama Lengkap

National Identity Number 3171020808930005


NIK

Passport Number C8095516


No. Passport

Date of Birth 1993-08-08


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

10-Jun-2021 First / Pertama Indonesia Astra Zeneca 1 CTMAV547

02-Sep-2021 Second / Kedua Indonesia Astra Zeneca 2 LOT210050

22-Jan-2022 Third / Ketiga Non-Indonesia COVID-19 Vaccine Pfizer 3

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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