INTERNATIONAL (TAWAKKALNA) COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL (TAWAKKALNA)

DETAILS / RINCIAN

Full Name TOLAK LUMUDIN ARDI

Nama Lengkap

National Identity Number 3529206510640001

NIK

Passport Number C5941012

No. Passport

Date of Birth 25 Oct 1964

Scanned by officer Tanggal Lahir
Dipindai oleh petugas

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacture Type Batch ID
Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Tipe Batch ID

03 Apr 2021 First / Pertama Indonesia CoronaVac 1/2 24001521

02 Feb 2022 Second / Kedua Indonesia CoronaVac 2/2 24203321

03 Jun 2022 Third / Ketiga Indonesia AZD1222 Additional NM0003

Vaccination protect us, our nation, and everyone around the world.
Vaksinasi melindungi diri kita, bangsa kita, dan semua penduduk di dunia.

Tawakkalna Digital Documentation for COVID-19 Certificates Format