١٩- ‫ﺷﻬﺎدة ﺗﻄﻌﻴﻢ ﺿﺪ ﻓﻴﺮوس ﻛﻮروﻧﺎ ﻛﻮﻓﻴﺪ‬

COVID-19 Vaccination Certificate

Name: MIDHUN ERANEZHATH SASIKUMAR ERANEZHATH SASIKUMAR :‫اﻹﺳﻢ‬

Date of Birth (DD-MM-YYYY): 30-05-1982 :(DD-MM-YYYY) ‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬

1 9- ‫ ﻛﻮﻓﻴﺪ‬- ‫ اﻟﻤﺮض اﻟﻤﺴﺘﻬﺪف‬:‫ﺗﻠﻘﻰ اﻟﻤﺬﻛﻮر أﻋﻼه ﺟﺮﻋﺎت اﻟﻠﻘﺎح اﻟﺘﺎﻟﻴﺔ ﻟـ‬

The above mentioned has received the following vaccine doses for: Disease Targeted - Covid-19

‫اﺳﻢ اﻟﻠﻘﺎح‬ ‫رﻗﻢ‬ ‫ﺗﺎرﻳﺦ اﻟﻠﻘﺎح‬ :‫ﺑﻠﺪ اﻟﺘﻄﻌﻴﻢ‬

‫اﻟﺠﺮﻋﺔ‬ ‫ﻣﺤﺘﻮى اﻟﻠﻘﺎح‬ ‫اﻟﺸﺮﻛﺔ اﻟﻤﺼﻨﻌﺔ‬ Date of
Vaccine ‫اﻟﺤﺰﻣﺔ‬ Country of
Dose Vaccine Manufacturer Vaccination
Product Lot # Vaccination
(DD-MM-YYYY)

SARS CoV-2 mRNA Moderna Biotech Spain

1 of 2 Spikevax 3001938 14-04-2021 Qatar
Vaccine S.L.

SARS CoV-2 mRNA Moderna Biotech Spain

2 of 2 Spikevax 3002336 13-05-2021 Qatar
Vaccine S.L.

SARS CoV-2 mRNA Moderna Biotech Spain

3 Spikevax 3005793 06-01-2022 Qatar
Vaccine S.L.

Dr. Hamad Eid Al-Romaihi ‫اﻟﺪﻛﺘﻮر ﺣﻤﺪ ﻋﻴﺪ اﻟﺮﻣﻴﺤﻲ‬

Manager of Health Protection and Communicable ‫ﻣﺪﻳﺮ ﺣﻤﺎﻳﺔ اﻟﺼﺤﺔ وﻣﻜﺎﻓﺤﺔ اﻷﻣﺮاض‬
Diseases
‫اﻻﻧﺘﻘﺎﻟﻴﺔ‬
Public Health Department
‫إدارة اﻟﺼﺤﺔ اﻟﻌﺎﻣﺔ‬
P.O. Box – 42, Doha – Qatar
‫ ﻗﻄﺮ‬،‫ – اﻟﺪوﺣﺔ‬42 .‫ب‬.‫ص‬

.‫ ﻗﻄﺮ‬،‫ﻫﺬه اﻟﺸﻬﺎدة ﻫﻲ وﺛﻴﻘﺔ رﺳﻤﻴﺔ ﻣﻮﻗﻌﺔ رﻗﻤ ﻴ ًﺎ وﺻﺎدرة ﻋﻦ وزارة اﻟﺼﺤﺔ اﻟﻌﺎﻣﺔ – اﻟﺪوﺣﺔ‬
This certificate is an official document that is digitally signed and issued by the
Ministry of Public Health, Doha, Qatar.