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Holder

Name:
Surname:
Date Of birth

Covid test certificate:
Covid recovery certificate:
Covid vaccine certificate:

Covid test data

Date:
Device:
Type:
Name:
Country:
Center:
Id:
Issuer:
Disease:
RESULT:

Covid recovery data

Target desease:
First positive date:
Test country:
Certificate issuer:
Valid from:
Valid to:
Valid for: days
Id:

Covid vaccine data

Disease:
Profilaxis:
Vaccine ID:
Vaccine manufacturer:
dose number : of
Vaccination date
Country of vaccination:
Certificate issuer:
Certificate ID:

Validity

Creation date:
Expiry date:
Duration: days ( months).
Remaining: days ( months).

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