INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor :
149362414

DETAILS / RINCIAN

Full Name
SETIATY PANDIA
Nama
Lengkap

   National Identity Number
1603116904030002
NIK

Passport Number

No.
Passport

Date of Birth 2003-04-29

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
Type
Batch ID

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

23-Jul-2021 First / Pertama Indonesia AZD1222 ABY1911

24-Oct-2021 Second / Kedua Indonesia AZD1222 ABY1312

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