12/5/22, 5:51 PM Decentralized renderer

Vaccination Certificate

Name of Person: BENJAMIN JAN-RAY NG

NRIC/FIN Number: T****012Z
Passport/Travel Document Number: K2934804B
Nationality/Citizenship: Singapore
Date of Birth: 31 January 2010

1. PFIZER (Dose 1)
Manufacturer/Vaccination Name/Brand/Type: PFIZER-BIONTECH/COMIRNATY COVID-19 Vaccine
[Tozinameran] Injection
Clinic/Vaccination Centre: Vaccination site approved by Ministry of Health
(MOH), Singapore [21M0438]
Date of Vaccination: 11 January 2022
Batch Number: FP1430
Country/Region of Vaccination: Singapore
Health Worker: Designated vaccinator by MOH-approved vaccination
site

2. PFIZER (Dose 2)
Manufacturer/Vaccination Name/Brand/Type: PFIZER-BIONTECH/COMIRNATY COVID-19 Vaccine
[Tozinameran] Injection
Clinic/Vaccination Centre: Vaccination site approved by Ministry of Health
(MOH), Singapore [21M0438]
Date of Vaccination: 8 February 2022
Batch Number: FP1430
Country/Region of Vaccination: Singapore
Health Worker: Designated vaccinator by MOH-approved vaccination
site

https://www.verify.gov.sg/verify?q=%7B"type"%3A"DOCUMENT"%2C"payload"%3A%7B"uri"%3A"https%3A%2F%2Fapi-vaccine.storage.aws.notarise… 1/3
12/5/22, 5:51 PM Decentralized renderer

3. PFIZER (Dose 3)
Manufacturer/Vaccination Name/Brand/Type: PFIZER-BIONTECH/COMIRNATY COVID-19 Vaccine
[Tozinameran] Injection
Clinic/Vaccination Centre: Vaccination site approved by Ministry of Health
(MOH), Singapore [20M0165]
Date of Vaccination: 29 November 2022
Batch Number: FT7737
Country/Region of Vaccination: Singapore
Health Worker: Designated vaccinator by MOH-approved vaccination
site

Travellers should note that they are subject to the country or region's requirements prior to travel. The
QR code used for verification is based on your destination country.

The QR codes in this Vaccination HealthCert are valid until 5 Dec 2023. You may visit Notαrise.gov.sg at
any time to obtain a new Vaccination HealthCert to extend the expiry date of the QR codes. Please note
that expiry of the QR codes do not constitute the expiry of your vaccination records or vaccination status
in Singapore.

Online QR verification

This QR Code requires an internet connection to verify.

https://www.verify.gov.sg/verify?q=%7B"type"%3A"DOCUMENT"%2C"payload"%3A%7B"uri"%3A"https%3A%2F%2Fapi-vaccine.storage.aws.notarise… 2/3
12/5/22, 5:51 PM Decentralized renderer

Offline QR Verification (EU DCC-compatible)

This QR Code does not require an internet connection to verify. Some EU countries may only support this
form of verification.

This may also be used for public health measures beyond travel within the EU and should be produced to
authorities when required.

OFFLINE QR (EU DCC) OFFLINE QR (EU DCC)

1. PFIZER (DOSE 1) 2. PFIZER (DOSE 2)

OFFLINE QR (EU DCC)

3. PFIZER (DOSE 3)

https://www.verify.gov.sg/verify?q=%7B"type"%3A"DOCUMENT"%2C"payload"%3A%7B"uri"%3A"https%3A%2F%2Fapi-vaccine.storage.aws.notarise… 3/3