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APPLICATION TO CONVERT A FOREIGN VACCINATION …

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APPLICATION TO CONVERT A FOREIGN VACCINATION CERTIFICATE INTO A FRENCH COVID CERTIFICATE I, the undersigned, SURNAME:................................ ........................................ ....................................... First name(s): ........................................ ........................................ ......................... Address (in country of residence abroad): ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ .................................... ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ Country in which the vaccine was administered (if other than the country of residence).

21-2793-demande de conversion de certificat de vaccination_ang created date: 20210809131942z ...

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