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SAN.iui t',,W%K

Adeverinti de vaccinare
Vaccination certificate

rReg,i5!ry{ Electronic fNafio,r:lai: 6*',.".,,,,']::, NUME PRENUME / NAME SURNAME


,VAedimdf,i. {trttns:#yw1.re,nv 16,1, : i' GIUGLEA CaTdLlN-IONEL
Sex / Sex M Varsta / Aoe 47
@aJ,Viccineiit.,.leste pusr ta dispozifia', judet domiciliu / Address- Constanta
prSoanei, vaccinate, fie electronta,,6$.,:ie
Seria Numar CI (Identity card) / KZ 287220
suport de h6rtie pentru a-i permite acesteia si
igi!ini evidenla intre cele doui vizite la centru
de, .vac'iinare (doza ;,,ipi1;rlE gi , rapsfl ,ir!:i' a INFORTVATII DESPRE VACCIN / VACCINE iNFO
de vaccin administrat. Doza 1 (Dose 1) Tip vaccin(Type of vaccine): Vaccin impotriva COVID1 9
Produs (Product) Pfizer - BtONTech / LotNr (Batch no): EW2243
voluntarS, iar Data expirarii (Expiration date) 3t-07-2027
Data vaccinirii (Date of vaccination) ll-04-202t

made available to

and to k of
, administered. please n6t€ - that DATE DESPRE CENTRUL DE VACCINARE
,r,V.accine
vaccination is free, voluntary. and the Nume centru de vaccinare / Name of vaccination center
,rrvaccination certificate is not issued'in.oider- to
condition or restrict the rights of vaccinated Pavilion Expozitional ll_(fostul SMMTT_ll)
persons. Judelul/ County
Constanta
National Institute of Public Health This document is signed by
Signatory OTD. 2. 5. 4 . 91 =26341 2 4L,
CN_]NSTITUTUL NATIONAL DE
https:/lwww.renv.ro Emai l: covid@renv.l-o SANATATE PUBLICA,
O:INSTITUTUL NAT]ONAL DE
,-€$:ry,11sfu
t,.,Na{ionbl de Coordonare a SANATAIE PUBLICA, C:RO
.aAe.tiv,it6filor-':. pr.ivind. Vaccinarea impotriva Date/Time Sun Apr 11 11:20:15 trEST
2021
lssuer-Certificate aID.2.5.4.97:VATRO-
.1 8288250, CN:certSIGN

Qualified CA, O:CERTSIGN


SA, C:RO
Serial-No. 10528 6LA32s5487 9B 91BB 5384
9354
Method urn : adobe . com: Adobe . PPKLi
te:adbe.pkcs7,sha1 (Adobe
Ci
^n:r,rra\
Lq!u/

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