Vaccination Certificate

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COVID-19 VACCINATION CERTIFICATE

Full Name:
JONA JOY MARTINO FORONDA

Date of Birth: Passport No.:


17-Aug-1990 P5997817B

Sex:
FEMALE

Issuer:
Philippine Department of Health

Issuance Date and Time:


22-Nov-2021 11:30 AM

This is a secure QR code and can be verified by using the


scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 752871511

Date of Vaccine/ Brand, Country of


Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

COVID-19 vaccine, RNA- Moderna,


1 11-Aug-2021
based Moderna
059D21A Philippines

COVID-19 vaccine, RNA- Moderna,


2 08-Sep-2021
based Moderna
939894 Philippines

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