Vaccination Record (Sample)

1 BangladeshNon-polling States Together,India will defeat COVID-19 In case of any adverse events, kindly contact the nearest Public Health Center/Healthcare Worker/District Immunization Officer/State Helpline No. 1075 / / / 1075 Beneficiary DetailsFinal Certificate for COVID-19 VaccinationBeneficiary Name /Gender /Age /ID Verified /Unique Health ID (UHID)Beneficiary Reference ID- Vaccination Details - This certificate can be verified by scanning the QR code of Dose 2 /Vaccine Name /Date of Dose 1 /Vaccinated by/ Vaccination at / Design# India Sample Vaccination Record of Indonesia Certificates of Vaccination issued by the Indonesian Government Certificate of First Dose of Vaccine (Blue)

2 Certificate of Second D ose of Vaccine (Orange) Name Indonesian Identity Card Number Indonesian Identity Card Number Name Indonesia2 Confirmation Letter issued by the Ministry of Health of Indonesia - -In addition to the above two certificates of Vaccination , a person arriving at HongKong should also provide a letter issued by the Ministry of Health of sample is attached below. 3 How to verify the authenticity of the Vaccination Record (a) ( ) Please visit the website for Vaccination Record authentication of the IndonesianGovernment ( ).( : )(Note: The website is in Bahasa Indonesia only.)(b) Please verify the authenticity of the Vaccination Record using the steps below.

3 Step 1: Input the traveller s full name Step 2: Input the Indonesian Identity Card number Step 3: Check the box Step 4: Click to check the Record (see the Picture below) 4 Note: Vaccination information will appear on the page. The information should be the same as that on the Vaccination certificates and the confirmation letter issued by the Ministry of Health of Indonesia. Name Indonesian Identity Card Number Information on second dose of vaccine Already received the second dose of vaccine Vaccination location 30 2019 COVID-19 test results in the past 30 days None None Malaysia Nepal Pakistan SingaporeSample of Thailand s COVID-19 Certificate of Vaccination Thailand s international COVID-19 certificate of Vaccination is issued by the Department of Disease Control, Ministry of Public Health of Thailand All travelers who are vaccinated in Thailand may apply for this international COVID-19 certificate of Vaccination by appointment at designated institutions under the Ministry of Public Health of Thailand.

4 Cover Page - Contains vaccinecertificate number, andpersonal information ofthe vaccine certificateholder, including name,passport number andThailand s nationalidentification number. Thailand2 Information Page - On top of the page, it contains personal information, including name, date ofbirth, gender, nationality, passport number and/or Thailand s nationalidentification It also contains information on COVID-19 Vaccination , including vaccinename, Vaccination date, manufacturer and batch number of vaccine, certificateissuance date as well as the signature and professional status of the authorisedofficer of the Department of Disease Control and the official stamp ofthe designated institutions under the Ministry of Public Health of to verify the authenticity of Thailand s COVID-19 Certificate of Vaccination All travelers must present a document with a QR Code linking to the Ministry of Public Health s online database.

5 They can be either: Type A - A paper with a QR Code attached to the yellow vaccine certificate; or Type B - A national certificate of Vaccination or its digital version with a QR Code 3 (Type A) A paper with a QR Code attached to the yellow vaccine certificate (Type B) A national certificate of Vaccination or its digital version with a QR Code 1. Paper version2. Digital version in Mor Prom applicationof the Ministry of Public Health4 - Scan the QR Code appeared in the document with the device s camera or anyQR Code scanning A webpage of the official database of the Department of Disease Control,the Ministry of Public Health of Thailand, will appear and display personalinformation of the vaccine certificate holder, including name, passport numberand/or Thailand s national identification number, vaccine name, vaccinationdates, and batch numbers of vaccine, for the purpose of verifying the authenticityof the vaccine certificate and the information therein.

6 (Type A) A paper with a QR Code attached to the yellow vaccine certificate 5 (Type B) A national certificate of Vaccination or its digital version with a QR Code 1. Paper version 2. Digital version in Mor Prom application of the Ministry of Public Health Sample Vaccination Record of the Philippines International Certificate of Vaccination or Prophylaxis (ICVP) i ssued by the Bureau of Quarantine (BOQ) of the Philippines (known as Yellow Card ) Cover Page - User Information Page - Contains personal particulars, includingname, date of birth and passport number. Yellow Card (Latest Version) The Philippines2 An earlier version of the Yellow Card does not contain the passport number but onlya blank field on national identification document ( if applicable ).

7 A person arrivingat Hong Kong should also provide a Certificate issued by BOQ of the Philippinesproviding the Philippine passport number together with the Yellow Card . Yellow Card (Earlier V ersion) and the Certificate issued by BOQ of the Philippines Inside Page of the Yellow Card 2019 Contains information on COVID-19 Vaccination , including vaccine name andvaccination date, etc. Field of national identification document, if applicable Philippine Passport Number 3 How to verify the authenticity of the Vaccination Record (a) ( ) BOQ OBS 1 (b)- 2 - - 3 (a)Visit the Website of BOQ of the Philippines ( ) or Downloadthe Application of BOQ of the Philippines BOQ OBS (see Picture 1).

8 (b)- Click the Button VERIFY BOQ CERTIFICATE to open the BOQ QRScanner Application (see Picture 2) -Scan the QR Code on the Yellow Card .-Confirm that the Vaccination information is the same as that on the Yellow Card (see Picture 3). 1 Picture 1 2 Picture 2 4 3 Picture 3 The name is shown h ere United Arab Emirates