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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 987411853

DETAILS / RINCIAN

Full Name FADJAR SENO ADJI


Nama Lengkap

National Identity Number 3175080110990005


NIK

Passport Number
No. Passport

Date of Birth 1999-10-01


Tanggal Lahir
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacturer Batch ID


Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Batch ID

06-Feb-2021 First / Pertama Indonesia CoronaVac 202009009

20-Feb-2021 Second / Kedua Indonesia CoronaVac 202011047

24-Aug-2021 Third / Ketiga Indonesia Moderna 009D21A

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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