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Passenger Locator Form: Personal Information

This passenger locator form requires travelers to provide personal details like name, contact information, travel itinerary, local addresses and emergency contacts. The form notes that the individual must carry their vaccination certificate to enter the country, and includes a section for them to list their digital certificate details.

Uploaded by

Alexandru Padureanu
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© © All Rights Reserved
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86 views2 pages

Passenger Locator Form: Personal Information

This passenger locator form requires travelers to provide personal details like name, contact information, travel itinerary, local addresses and emergency contacts. The form notes that the individual must carry their vaccination certificate to enter the country, and includes a section for them to list their digital certificate details.

Uploaded by

Alexandru Padureanu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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

PADUREANU / - / MAJA Female / 36

Mobile Phone Number Business Phone Number Home Phone Number


Unique Code
+40747377849 - -
4160954593
Other Phone Number Email Passport
Date Submitted
- maja.jakovlevska@gmail.co C1239300
m 2021-07-06

1. .Transportation
.... Information: Aircraft Flight Information
Airline name Flight number

Wizz Air W63055

Date of arrival Point of Entry in the Country

2021-07-09 Heraklion

Connection Flight Information


Airline name Flight number Date of arrival

- - -

I Permanent Address
--------
Country State / Province City

Romania Olt Slatina

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


Cabin Number
Str. Vailor 14 230057 -

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

Greece - AGIOS NIKOLAOS

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Chortatson 12 72100 - -
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

CUKNI - NOVAKOVIKJ ANETA Greece / Agios Nikolaos

Mobile Phone Number Other Phone Number Email


+306938872401 - atacukni@gmail.com

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

1 PADUREANU / DAVID 1 -

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

MAJA PADUREANU -/ - -

Type Manufacturer Country Certificate ID


Other Digital / Non Pfizer BioNtech Romania -
Digital

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