EXAMPLE Vaccination Certificat NL

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Instructions

1. Print this certificate on A4 (black-and-white


allowed)
International 2. Bring a valid proof of identity to the activity you’re
certificate visiting

3. Show the certificate and the proof of identity (and if


Are you traveling outside of the Netherlands? Then needed a ticket) at the entrance
use this EU Digital COVID Certificate.

Before you leave, check which test and vaccination


certificates are valid in your destination country:
https://reopen.europa.eu/en

Vaccination certificate SURNAME(S) AND FIRST NAME(S) Ataev, Eduard Gennadiyevich

DATE OF BIRTH (DD-MM-YYYY) 22-02-1989

DISEASE TARGETED COVID-19

VACCINE Pfizer (Comirnaty)

VACCINE MEDICINAL PRODUCT SARS-CoV-2 mRNA vaccine

VACCINE MANUFACTURER Biontech Manufacturing GmbH

NUMBER IN SERIES OF DOSES 2/2

DATE OF VACCINATION (DD-MM-YYYY) 08-08-2021

COUNTRY OF VACCINATION NL

CERTIFICATE ISSUER Ministry of Health,


Welfare and Sport

UNIQUE CERTIFICATE IDENTIFIER


URN:UCI:01:NL:XUBUW7D5E5CFDFJBMIK742#3
This certificate is not a travel document. The scientific evidence regarding COVID-19
vaccinations, testing and recovery continues to evolve, also with regard to new variants of
concern. Before traveling, please check which public health measures and associated
restrictions apply at the destination.

Created at 17-08-2021, 09:31 (CEST)

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