International COVID-19 Vaccination Certi cate

Name MISS PURICHAYA PRAPUSAKPI-

TAK

Passport No. AC3263947

Nationality THAI

Date of Birth 11-09-1997

Sex Female

Certicnate IfoVrmatiVf

Certicuate StatIs LADI5 dssIanue Date 06-04-2023

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Date MormatY DD5::5