INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor :
876163847

DETAILS / RINCIAN

Full Name
SANTOSA
Nama
Lengkap

   National Identity Number
3274041205520006
NIK

Passport Number

No.
Passport

Date of Birth 1952-05-12

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

08-Sep-2021 First / Pertama Indonesia CoronaVac 24201821A

06-Oct-2021 Second / Kedua Indonesia CoronaVac 24005221

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