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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
565726302

DETAILS / RINCIAN

Full Name
JETAR SILABAN
Nama
Lengkap


   National Identity Number
3172011503030005
NIK

Passport Number
E1513995
No.
Passport

Date of Birth 2003-03-19


For further details, please visit Tanggal
Lahir
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination
Dose Number
Country of Vaccination
Vaccine Manufacturer
Type
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Type Batch ID

29-Aug-2021 First / Pertama Indonesia Astra Zeneca 1 K005B

23-Nov-2021 Second / Kedua Indonesia Astra Zeneca 2 A1073

02-Jun-2022 Third / Ketiga Indonesia Moderna 3 007L21A

Vaccination is to protect ourselves and our families, neighbors and


protect Indonesian people and people worldwide.

Vaksinasi
melindungi diri kita, keluarga kita, tetangga dan melindungi rakyat
Indonesia dan manusia di seluruh dunia.

World Health Organization Digital Documentation for COVID-19


Certificates Format

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