Passenger Locator Form

You are required to carry a certificate of a negative RT-PCR or antigen (rapid) test result to be allowed by the border authorities to
enter the country. The certificates should be written in English and bear the name and passport/national ID number of the traveler.
You may be retested upon arrival at your point of entry in Greece.

1. .Personal
. . . . . . . . . . . . . .Information
..................................................
Last Name / Middle / First Name Sex / Age

Gjorgievska / - / Melanija Female / 56

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+38970295333 - -
7377074091
Other Phone Number Email Passport
Date Submitted
- melanija@fedex.com.mk C1413143
2021-08-24
Professional Driver

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . .Information
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Ground transport Plate Number Carrier

Car sk0468am -

Seat Number Date of arrival Point of Entry in the Country

- 2021-08-25 Evzoni (North Macedonia)

1. .Permanent
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

North Macedonia Skopje Skopje

Street (Name, Number, ZIP) Apartment Number / Previously Visited Country

Cabin Number

Dimitrie Chupovski 18 1000 45

1. .Temporary
. . . . . . . . . . . . . . . . .Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Country State / Province City

Greece - Plaka Litochoro

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Plaka Litochoro 60200 Litochoro apartments -
 Passenger Locator Form

1. . Secondary
. . . . . . . . . . . . . . . . .Temporary
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

Street (Name, Number, ZIP) Hotel Name (If Any) / Cruise Apartment Number /
Ship Name Cabin Number

1. .Emergency
. . . . . . . . . . . . . . . . . .Contact
. . . . . . . . . . . . Information
..............................................................
Last (Family) Name First (Given) Name Country / City

Gjorgievska Mia North Macedonia / Skopje

Mobile Phone Number Other Phone Number Email

+38970295333 - mia.gjorg@gmail.com

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last Name / First Name / Passport / ID Age Seat Number

1 Gjorgievski / Vite / C0054993 55 -

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Non-Family
. . . . . . . . . . . . . . . . . ./. .Non-Same
. . . . . . . . . . . . . . . .Household
.......................
Number Last Name / First Name / Passport / ID Group (Tour, Team, Business, Other)

1. . .Digital
. . . . . . . . . .Certificate
.................................................................................
First Name Last Name Passport / ID Number Expiration

Melanija Gjorgievska -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Unknown - -
Digital