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Certificate

Final Certiﬁcate for COVID-19 Vaccination
Beneﬁciary Details
Vaccination Details
Beneﬁciary Name
Age
Gender
ID Veriﬁed
Unique Health ID (UHID)
Beneﬁciary Reference ID
Vaccine Name
Date of 1
st
Dose
Date of 2nd
Dose
Vaccinated by
Vaccination at
This certiﬁcate can be veriﬁed by scanning the QR code at
http://verify.cowin.gov.in
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Together, India will defeat
COVID-19”
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In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Oﬃcer/State Helpline No. 1075
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Male
Aadhaar # XXXXXXXX6167
16267314037465
COVISHIELD
03 Jun 2021 (Batch no. 4121Z087)
31Aug 2021 (Batch no. 4121Z104)
Priya Jacob
Apollo Hospital-JAYANAGAR, BBMP,
Karnataka

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To claim insurance coverage under Maxima health plan, the insured need to fill the respective claim form. The form seek basic information like policy number, contact details, name of the insured and details regarding the illness for which the claim is to be filed. However, the insured need to be sure of the information provided. In case of any dishonest information provided, the benefits will be forfeited making the policy void. With a ready link to Claim Form at Apollo Munich website, all customers can move ahead with the procedure. Proper reading of form is important before beginning to fill the form. Take a look at the check list of enclosures to be submitted with the claim form.

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chs community human services EMERGENCY BOARD OF DIRECTORS MEETING MONDAY, NOVEMBER I, 2O2I l. Approval of the Covid Vaccination Protocol for CHS Employees a, When President Biden mandated Covid vaccinations for all Federal employees, he further ordered it also applies to all Federal contractors. CHS has several Federal contracts which support our programs. CEO Everett McElveen worked with the law firm Blank Rome LLP, Pittsburgh, to develop this policy. The local attorneys worked with one of their firm attorneys in the Washington DC office who specializes in Covid-related issues. b. As the Protocol provides, CHS employees who do not meet specified deadline for proof of vaccination or an approved medical or religious exemption will be separated from the organization. c. lf CHS does not comply with the Federally mandated vaccine provrsions, we would likely lose our federal funds. Accordingly, the Board is requested to approve this Protocol. Action ltem: To approve the CHS Covid Vaccination Protocol Next Board Meetino: Thursdav. November 18. 2021. 4:OO PM Covid Vaccination Protocol As of December 8th,2021., all Community Human Services (CHS) staffwill need to be fully vaccinated due to our partnerships with federal/state and local entities which require us to comply with newly issued government orders mandating covid-19 vaccinations. Each employee of CHS will need to be fully vaccinated which means both doses of the ffizer or Moderna vaccine, or the single dose Johnson & Johnson vaccine and receive their booster for Johnson & Johnson inoculation 2 months after the initlal dose. Vaccine Specific lnformation PfiZgf, " t*o-dose vaccination given 21 days apart with this protocol the first dose cannot be taken later than, Wednesday November 10th, 2021. The second dose due no later than Wednesdav December 1st. This dosing schedule & calculation does not include the two-week post vaccination period in which the antibodies become fully active, and after the two-week period the person is now considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot available 6 months after your last vaccination dose. MOdgf na, a two-dose vaccination given 28 days apart with this protocol the first dose cannot be taken later than, Wednesday November 3d, 2021. The second dose is due no later than December L't, 2021. This dosing schedule & calculation does not include the two-week post vaccination period in which the antibodies become fully active, and after the two-week period the person is now considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot available 6 months after your Iast vaccination dose. JOhnSOn & JOhnSOn, a single dose vaccination-the last date with this protocol to receive this vaccination is Novembel 24'h, m2L. This dosing schedule & calculation includes the two- week post vaccination period in which the antibodies become fully active, and the.

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