-$&fiilffi $&ffi{}l &ffi&stA **= LT$"

**pitxl .fsr*
5$.H.. itr! ,. iii;*n firily f*td

,)n rCI

Ttris ix t* **rt*&. thxt U*,.

hJ,-*i-**-."1
l*'+IrttlriCt t--*.-
t*dk tgte*r"r tr.r"rl"ri t: ra
v&ii:_:5*F."rt5rai+!E:l

mu#: ffi
*ft lElr.e rl.riG lh
r.u aYrarBae
a,rlrr q.s$
I*ic er*+i!if*: aarl
a ats €l.rarl,a..rJ Ca. rta

dutiee-
 fiUItT}IHG III{T}IA
i '$ t u--..*ilrisi'; r*rr'ii!r:i,rr;i(.{iiiijri.b iJLf Llrfilteu i ULF {r$ntfe, i*lh
F$r*t s*ns*d fisms" fiIsttr fre{hr-'tIfiSS{
L&*S,r$& fr rt*{A1S?*3* J &frchi}* +gt "*$s$se3**s
f;nrsi{. puridirry*Sdlf in

*tcf' Ilt*'/Sl Ilfff}*lS

Thi* is l* c*rtifu- vc$rk*{,

gs s$ S ite

{ our sutm&st salrsfa*tiou a*d n1* tti*h

firture

hmk rvf*cn s& ercr th* xrturur*$ sns{} rtl

=1)
\OH
\J Z.
r
& O) t'r
Lrl I

}.=
-os o,O 6(t
no
O\- 4 1-
(3
z= <.
e= lJ
J9
e
O,\ U>
ro
rz H =
o
OC
rn
o - Ngrgr
3
5.C
o
r =
=t- -{ (7
@
\r1 - o H z.
5 - C
v
O/\ v c
C\n t-
r \
1
I .',1
i:i
:-'l: :i
\['
+
3 J
e
{(o {_r-
E*
1
I
{(,Il x{
!
ON
Or
{
@
D gs qE+Jfr f e gq t r Tbis passport coEtains a6 pages. 3

)
 f'; H o
trJ - r6
I

c{ 5 Ed,
o
dI '-: +__
(fi L-J
L-l
I .!
at
q# E
00 -
r-|
c
G
o
CJ o
d

o g
a i
4, zo'
d
E
- o
o
]t o
6
o c
r-
E

znt F
o
c v
E
o H
'E'
v
o a
,
m
2
o
H
f
m
,
E
H
d, G
E
z. E
b t._
z, (D (D h \o
o o
E Y
N
o 6 =
- E
F = A
F s
E F l'- 'r
v F F
J = .t F
= H @ U
J
G r E
F e, trt U' z E
o
34 ? i
!
i
o
z F
&
t
(,
H U)
H
6 o-
v
G L
h
 4 *
G)
E T €,
> C)
N

- o
!t C\l
o
J
N

oo * ,k
m
-
t-
o ,o
; o\
\o fl
E rr-
ffi
1 >,
i'
t"t i
I
I
t"
{ 3
L

l
s !

IJ
Ll) ,;
tJ i,. -- T
\o i
t)
s L
(,l
tJ
@
\
LA
w
:

0w/ vrsA
7
 Certificate for COVID-19 Vaccination
Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name / लाभाथ चे नाव Mohammad Nurullha

Age / वय 30

Gender / लग Male

ID Verified / ओळखप Passport # M7975774

Unique Health ID (UHID)

Beneficiary Reference ID 5957111666340

Vaccination Details

Vaccine Name / लसीचे नाव COVISHIELD

Date of 1st Dose / प ह ा डोसची तारीख 08 Jul 2021 (Batch no. 4121Z120)

Date of 2nd Dose / ुस ा डोसची तारीख 01 Oct 2021 (Batch no. 4121MC080)

Vaccinated by / यां ा ार लसीकरण PUSHPALATA DAWARE

Vaccination at / लसीकरणाचे ळ RCF Hospital, Mumbai, Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in