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

Zalsos / T / Cheryl Female / 62

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+16303069201 +16308768100 -
4122644515
Other Phone Number Email Passport
Date Submitted
- chezals@icloud.com 517676840
2021-08-07

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

Aegian A3431

Date of arrival Point of Entry in the Country

2021-08-10 Heraklion

Connection Flight Information

Airline name Flight number Date of arrival

- - -

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

United States of America Illinois Glendale Heights

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

Cabin Number
Shorewood Court 1155 60139 -

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

Greece - Ioannis, Crete

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Agios, Ioannis 70016 - CAVO PONTA Luxurious
Suites
 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

Unabia Guy United States of America /

Glendale Heights
Mobile Phone Number Other Phone Number Email
+13128607967 - chezals@icloud.com

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

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

Cheryl Zalsos -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Pfizer BioNtech United States -
Digital of America