High School Community Development

United Republic of Tanzania

Ministry of Health, Community Development, Gender, Elderly and

Children

CERTIFICATE OF COVID-19 VACCINATION

Yusuph Kassim Kibombo 1VD71966496

Full Name Ref Number

T-1001-5489-815-2 May 5, 1992

ID Number Date of Birth

Batch Doses Date of

ak Center of Vaccination

Mbagala Rangi Tatu Health

Janssen 1822788 1st Dose Oct 11, 2021

ISSUED BY : Prof. Abel Makubi

Permanent Secretary

Please keep this card, it contains important information regarding the COVID-19 vaccine you

have received