INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor : 471606626

DETAILS / RINCIAN

Full Name SERI FHATHUL HARDIANA

Nama Lengkap

National Identity Number 6405044501940001

NIK

Passport Number
No. Passport

Date of Birth 1994-01-05

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 Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Batch ID

12-Oct-2021 First / Pertama Indonesia CoronaVac 202108155G

03-Jan-2022 Second / Kedua Indonesia CoronaVac 202109151G

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