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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 389702769

DETAILS / RINCIAN

Full Name M.DUL ROKHIM


Nama Lengkap

National Identity Number 3315162502790002


NIK

Passport Number E4765432


No. Passport

Date of Birth 1979-02-25


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

23-Sep-2021 First / Pertama Indonesia CoronaVac 1 2021081611

02-Dec-2021 Second / Kedua Indonesia CoronaVac 2 202109143P

14-May-2022 Third / Ketiga Indonesia Astra Zeneca 3 D202111037

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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