UK Visas & Immigration

NAME: Andrea Guidi

PASSPORT NUMBER: YB5518600
DATE OF SUBMISSION: 07 September 2020 20:22 British Summer Time
(BST)
FORM: Public Health Passenger Locator Form
REFERENCE: 5ZAA020101937
REGISTRATION EMAIL: nordlead.cv@gmail.com

Personal information

Email address nordlead.cv@gmail.com

Travel information

Do you know where you will stay for your first 14 Yes
days in the UK?

What address will you stay at for your first 14 days 44a Wallbutton Road
in the UK? London
SE4 2NX

When will you arrive there? 9 September 2020

Are you exempt from self-isolating for the first 14 Yes

days you are in the UK?

Why are you exempt from self-isolation? I'm arriving from a Country (Italy) with no
self-isolation requirement on arrival in England

Will you be travelling to the UK as part of an No

organised group?

What are your travel plans? Stay in the UK

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Where will you arrive in the UK? Stansted

What country are you travelling from? Italy

Which operator will you be travelling with? Ryanair

What are the booking reference(s) for your travel? T5QBTC

What is the flight number, train service or ship FR8728

name that you will arrive on?

What is your seat number? (if relevant) 01C

Which countries have you been in, or will you be in, Italy
for the 14 days before coming to the UK?

Departure date 9 September 2020

Your planned travel information

When do you plan to arrive in the UK? 9 September 2020 08:15 AM

Personal information

Are you completing this form for someone else? No

Given name(s) Andrea

Family name Guidi

Are you now or have you ever been known by No

another name?

What is your sex? Male

Residential address Via Oberdan, 19

Legnano
Milano
20025
Italy

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

What is your preferred contact number? +347 7963300

Date of birth 16 June 1984

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Provide your telephone number +347 7963300

Where do you use this telephone number? For use whilst in the UK
For use whilst out of the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

Provide your telephone number +44 07480330516

Where do you use this telephone number? For use whilst in the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

Passport details

Passport number or travel document reference YB5518600

number

Issuing authority Questura

Issue date 10 July 2019

Expiry date 9 July 2029

People you are travelling with

Are you travelling to the UK with anyone under 18 No

years old, that you are including on this form?

Emergency contact

Their name Jelena Miskin

Their telephone number 3248258574

Their email address jelemiss@gmail.com

Declaration
I declare that:

I will arrive in the UK within the next 48 hours

the information I have entered in this form is correct
I have given permission to receive a copy of my form via email

I confirm that I understand and agree with the above declarations.

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