INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor : 643779221

DETAILS / RINCIAN

Full Name iwan wantika

Nama Lengkap

National Identity Number 3210072010940082

NIK

Passport Number E1555858

No. Passport

Date of Birth 1994-10-20

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

12-Oct-2021 First / Pertama Indonesia CoronaVac 1 C202106120

16-Nov-2021 Second / Kedua Indonesia CoronaVac 2 202109181F

23-Mar-2022 Third / Ketiga Indonesia COVID-19 Vaccine Pfizer 3 FL4789

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