Certification of Translation Accuracy

Translation of Vaccination Card from Albanian to English

As an authorized representative of RushTranslate, a professional translation services

agency, I hereby certify that the above-mentioned document has been translated by an
experienced, qualified and competent professional translator, fluent in the above-
mentioned language pair and that, in my best judgment, the translated text truly reflects
the content, meaning, and style of the original text and constitutes in every respect a
complete and accurate translation of the original document. This document has not been
translated for a family member, friend, or business associate.

This is to certify the correctness of the translation only. I do not make any claims or
guarantees about the authenticity or content of the original document. Further,
RushTranslate assumes no liability for the way in which the translation is used by the
customer or any third party, including end-users of the translation.

A copy of the translation is attached to this certification.

State of Kentucky
County of Jefferson

I, a Notary Public, hereby certify that Janice Kreutzer,

Janice Kreutzer whose name is signed to the foregoing instrument, and who
Authorized Representative is known to me, acknowledged before me on this day that,
Order Date: December 2, 2023 being informed of the contents of the instrument, has
executed the same voluntarily on the day the same bears
RushTranslate date.
640 South Fourth Street
Suite 300 Given under my hand on December 4, 2023.
Louisville, KY 40202
United States

Signature of Notary Public

Order #91113-2718124 Page 1 of 5

 REMEMBER:
IMMUNIZATION IS EVERY
CHILD'S RIGHT AND EVERY
PARENT'S DUTY

MAIN FAMILY HEALTH CENTER

GJAKOVA

[SEAL: REPUBLIC OF KOSOVO - Municipality of Gjakova - MFHC]

EXPANDED IMMUNIZATION PROGRAM FOR KOSOVO

VACCINE PASSPORT

Passport No. 280/2023

You must have this passport with you every time you bring the child to health
institutions.

Order #91113-2718124 Page 2 of 5

Passport No. 280/2023
IMMUNIZATION SCHEDULE
Surname: VOKSHI (AGIM)
Name: JON Age Vaccine
Birthday: 07/22/1995

!"#$%&$'%% (")*&+,-%.%("/0%% 1- 4 days BCG

Hep B1
%%%%%%%%%%%%%%%%%%%%%%%%%%10$20#'%3%.%4
2 months OPV 1
Birth certificate No.:
Municipality of: GJAKOVA DPT 1
Address (village): M.ZAJMI
[SEAL: REPUBLIC OF KOSOVO - Municipality of Hep B2
Gjakova - MFHC]
3 months OPV 2

DPT 2

Contraindications Allergies 4 months OPV 3

____________ __________
____________ __________
____________ __________ DPT 3

Hep B 3

12-18 months MMR v

OPV revaccination - I

DPT revaccination

Disease history Date 6-7 years OPV revaccination - I I

Parotitis __/__/__
DT
Rubella __/__/__
Varicella __/__/__ MMR revaccination
Pertussis __/__/__
Measles __/__/__ 12 - 13 years OPV revaccination - III

Order #91113-2718124 Page 3 of 5

__________ __/__/__ Td

18 years TT

Vaccine Immunization date Signature: Vaccine Immunization date Signature:

BCG v TT 07.25.2013

BCG r - I 11.11.2002 TT

DPT 1 + HIB 02.15.1996 TT

DPT 2 + HIB 04.10.1996 Hep. B1

DPT 3 + HIB 06.18.1996 Hep. B2

DPT r 12.04.1997 Hep. B3

OPV 1 02.15.1996 Hep. Br -

I

OPV 2 04.10.1996 Hep. Br –

II

OPV 3 06.18.1996 Other Vaccines

OPV r-I 12.04.1997

OPV r-II 09.27.2002 [SEAL: REPUBLIC OF KOSOVO - Municipality of

Gjakova - MFHC]
OPV r-III 05.11.2007 [SIGNATURE]

MMR v 02.26.1997

Order #91113-2718124 Page 4 of 5

MMR r

DT 09.27.2002

DT

DT

Td 05.11.2007

Td

Td

Order #91113-2718124 Page 5 of 5