International COVID-19 Vaccination Certificate

Proof of Vaccination Issued by AUS Version 1 UVCI VB0062849502

Australian
Government
International Name of the holder: DIMAPILIS, JAIME
COVID- Date of birth: 1957-04-29
19
Vaccination
Sex: M
Certificate Passport number: RA2490343
Proof
of Visible Digital Seal (VDS-NC)
Authorities can verify that this document is true and
Vaccination unaltered with a QR reader that checks against Australia's
Issued ePassport Country Signing Certificate Authority public key.
by
AUS
Version
1
Unique
Vaccination
Protect the QR code from marks and damage
Certificate
Identifier
VB0062849502
VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) AstraZeneca Vaxzevria RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2021-07-19 1 AUS General Practitioner 305955P

2021-10-11 2 AUS General Practitioner 314120P

VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) Pfizer Comirnaty RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2022-02-11 3 AUS General Practitioner FN0565

2022-07-08 4 AUS General Practitioner 36678TB

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 International COVID-19 Vaccination Certificate

Proof of Vaccination Issued by AUS Version 1 UVCI VB0062849502

Name of the holder: DIMAPILIS, JAIME

VACCINATION EVENT
Vaccine or prophylaxis: Vaccine brand: Disease or agent targeted:
XM68M6 (COVID-19) Pfizer Comirnaty Biv BA.4-5 RA01.0 (COVID-19)

Date of vaccination: Dose number: Country of vaccination: Administering centre: Vaccine batch number:

2023-04-21 5 AUS Pharmacy 2F3007A

This document bears a Visible Digital Seal for a Non-Constrained Environment (VDS-NC), as specified by the International
Civil Aviation Organization. UVCI means 'Unique Vaccination Certificate Identifier', XM68M6 and RA01.0 are World Health
Organization codes for COVID-19.

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