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Laboratory Gemotest LLC

21 Rozhdestvensky b-d, building 2 Moscow, 107045


p.: +7 495 532 13 13, 8 800 550 13 13
www.gemotest.ru
LO-50-01-012467 Scan QR code above to verify the
certificate.

CERTIFICATE
Order: 81715008

Passport (ID)

Name: Afonskii Anton Date of birth: 23.09.1984


Number: 7004628141 Issued: 01.11.2004, Shchekinskim RUVD tul obl
Address: Gagarina 14, kv. 81

International passport
Name: Afonskii Anton Date of birth: 23.09.1984
Number: 76 4848319 Issued: МВД 71005 23.06.2021

About the results of laboratory tests for coronavirus infection SARS-CoV-2

Date of biomaterial taken Date of completion


Name of research Test result
(moscow time) (moscow time)
Coronavirus, RNA (SARS-CoV-2, Real- 19.09.2021 10:39:24 20.09.2021 1:58:07 Negative
time PCR) smear, qualitative

Qualitative determination of the RNA of the SARS-CoV-2 coronavirus (the causative agent of COVID-19) in smears from the
nasopharynx and oropharynx is performed by real-time PCR.

Forgery of documents is punishable by law.

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