Passenger Locator Form

You are required to carry a certificate of a negative RT-PCR 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

Kuido / Valerevna / Anastacia Female / 35

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+79151119811 +79151119811 +74997374615
9198066917
Other Phone Number Email Passport
Date Submitted
+79151119811 anastacia5891@mail.ru 724814947
2021-03-23

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

Aeroflot SU2110

Date of arrival Point of Entry in the Country

2021-03-25 Athens International Airport

Connection Flight Information

Airline name Flight number Date of arrival

- - -

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

Russian Federation Moscow Moscow

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

Cabin Number
Leninskiy prospect 121 119517 121/1-2

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

Russian Federation Moscow Moscow

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Kleomenous 2, 10675, Athens, Hotel St. George Lycabettus -
117513 Lifestyle Hotel
 Passenger Locator Form

Secondary Temporary Address

Country State / Province City

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

Emergency Contact Information

Last (Family) Name First (Given) Name Country / City

Kuido Anastacia Russian Federation /

Moscow
Mobile Phone Number Other Phone Number Email
+79151119811 +79057909140 Anastacia5891@mail.ru

Travel Companions – Family

Number Last (Family) Name / First Name Age Seat Number

Travel Companions – Non-Family / Non-Same Household

Number Last (Family) Name / First Name Group (Tour, Team, Business, Other)