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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
MUHAMMAD IZZAT AZIF BIN MOHD RAFIS
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
990216015267 990216015267

SIJIL DIGITAL Tarikh Lahir / Date of Birth


16-Feb-1999
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
09-Aug-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


28-May-2021
Pusat Pemberian Vaksin / Vaccination Center
Ideal Convention Centre Shah Alam
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
CTMAV538

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


30-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Ideal Convention Centre Shah Alam
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
A1013
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
MUHAMMAD IZZAT AZIF BIN MOHD RAFIS
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
990216015267 990216015267

SIJIL DIGITAL Tarikh Lahir / Date of Birth


16-Feb-1999
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
09-Aug-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


27-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Integrasi World Trade Centre Kuala Lumpur HCO C
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
A1171

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