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  • International Covid-19 Vaccination Certificate: Sertifikat Vaksinasi Covid-19 Internasional

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    This document is an international COVID-19 vaccination certificate for Adam Andi Nugroho with identification number 140985566. It details his full name, national identity number, passport number, and date of birth. It also lists the dates, doses, locations, vaccine manufacturers, types, and batch IDs for his three COVID-19 vaccinations in Indonesia using the AstraZeneca vaccine. The certificate is issued following WHO standards for digital COVID-19 documentation.

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    This document is an international COVID-19 vaccination certificate for Adam Andi Nugroho with identification number 140985566. It details his full name, national identity number, passport number, and date of birth. It also lists the dates, doses, locations, vaccine manufacturers, types, and batch IDs for his three COVID-19 vaccinations in Indonesia using the AstraZeneca vaccine. The certificate is issued following WHO standards for digital COVID-19 documentation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    International Covid-19 Vaccination Certificate: Sertifikat Vaksinasi Covid-19 Internasional

    Uploaded by

    adam andi
    This document is an international COVID-19 vaccination certificate for Adam Andi Nugroho with identification number 140985566. It details his full name, national identity number, passport number, and date of birth. It also lists the dates, doses, locations, vaccine manufacturers, types, and batch IDs for his three COVID-19 vaccinations in Indonesia using the AstraZeneca vaccine. The certificate is issued following WHO standards for digital COVID-19 documentation.

    Copyright:

    © All Rights Reserved
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    INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

    SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


    Number / Nomor :
    140985566

    DETAILS / RINCIAN

    Full Name
    ADAM ANDI NUGROHO
    Nama
    Lengkap


       National Identity Number
    3672051104980001
    NIK

    Passport Number
    C9754576
    No.
    Passport

    Date of Birth 1998-04-11


    Tanggal
    Lahir
    For further details, please visit
    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

    14-Jun-2021 First / Pertama Indonesia AZD1222 1/2 CTMAV549

    06-Sep-2021 Second / Kedua Indonesia AZD1222 2/2 24005521

    19-Mar-2022 Third / Ketiga Indonesia AZD1222 Additional CTMAV5147

    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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