Passenger Locator Form

You are required to carry your vaccination certificate to be allowed by the border authorities to enter the country.

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

Birsanel / - / Adrian Male / 39

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+40760100951 - -
7303282250
Other Phone Number Email National ID
Date Submitted
- barsaneladrian@gmail.com 1820218410093
2021-07-19
Professional Driver

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

Car B187BRS -

Seat Number Date of arrival Point of Entry in the Country

- 2021-07-22 Promachonas (Bulgaria)

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

Romania Bucuresti Bucuresti

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

Cabin Number

Contesti 6 051711 55 Romania

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

Greece - Kalamitsi Halkidiki

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Morfoula Pratsa 63072 Morfoula Pratsa Morfoula Pratsa
 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

Birsanel Florentina Romania / Bucuresti

Mobile Phone Number Other Phone Number Email

+40720076931 - Florentinabirs@icloud.com

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last (Family) Name / First Name Age Seat Number

1 Birsanel / Elena-Daria 11 -

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

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

Adrian Birsanel -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Unknown - -
Digital