COVID-19 VACCINATION CERTIFICATE

VACCINEE DETAILS
Full Name:
REBAMONTAN, IVAN

Date of Birth: Passport No.:

19-Mar-2002 009682

Issuer:
Philippine Department of Health

Issuance Date and Time:

21-Sep-2023 05:30 PM

This QR code is compliant with the framework of

European Union Digital COVID Certificate (EU DCC) Certificate ID: 450254975

Dose Date of Country of

Vaccine/ Prophylaxis Brand, Manufacturer Lot Number
Number Vaccination Vaccination

ChAdOx1-S [recombinant]
COVID-19 vaccine, non-
1 29-Nov-2021
replicating viral vector
(AstraZeneca), A1106 Philippines
AstraZeneca

ChAdOx1-S [recombinant]
COVID-19 vaccine, non-
2 25-Jan-2022
replicating viral vector
(AstraZeneca), A1140 Philippines
AstraZeneca