Vaccination Certificate

Name of Person: MOHD RIDZUAN SHAH BIN KHAIDIR

NRIC/FIN Number: G****670Q
Passport/Travel Document Number: A53113553
Nationality/Citizenship: Malaysian
Date of Birth: 12 January 1991

Dose 1
Manufacturer/Vaccination Name/Brand/Type: MODERNA COVID-19 Vaccine [mRNA-1273] Injection
Clinic/Vaccination Centre: Vaccination site approved by Ministry of Health
(MOH), Singapore [21M0147]
Date of Vaccination: 23 August 2021
Batch Number: 3004736
Country/Region of Vaccination: Singapore
Health Worker: Designated vaccinator by MOH-approved vaccination
site

Dose 2
Manufacturer/Vaccination Name/Brand/Type: MODERNA COVID-19 Vaccine [mRNA-1273] Injection
Clinic/Vaccination Centre: Vaccination site approved by Ministry of Health
(MOH), Singapore [21M0147]
Date of Vaccination: 20 September 2021
Batch Number: 3005686
Country/Region of Vaccination: Singapore
Health Worker: Designated vaccinator by MOH-approved vaccination
site

Based on Singapore's requirement, MOHD RIDZUAN SHAH BIN KHAIDIR has been fully vaccinated against
COVID-19.

Note: Travellers are subject to the country or region's requirements prior to travel. The QR code used
for verification is based on your destination country.

The QR codes in this Vaccination HealthCert is valid until 20 Dec 2022. You may visit Notαrise.gov.sg at
any time to obtain a new Vaccination HealthCert to extend the cert expiry date. Please note that expiry
of your Vaccination HealthCert does not constitute the expiry of your vaccination records or vaccination
status in Singapore.

Online QR verification
This QR Code requires an internet connection to verify.

Offline QR Verification (EU DCC-compatible)

This QR Code does not require an internet connection to verify. Some EU countries may only support this
form of verification.

This may also be used for public health measures beyond travel within the EU and should be produced to
authorities when required.

MODERNA COVID-19 Vaccine [mRNA-1273] Injection

DOSE 1 DOSE 2
: