Passenger Locator Form

STATUS: AMBER
VACCINE STATUS: DECLARED FULL/EXEMPT

The code contains personal

information. By sharing the code,
you will be sharing your passenger
locator form data.

Summary
Name Joanne Mary Tovey
Passport number 559696780
Which company are you travelling with? Ryanair UK Limited
What is the flight number, train number or ship FR523
name that you will arrive on?
Reference UKVI_5ZAA011788711
Status AMB
What are your travel plans? Stay in the UK
Are you required to self-isolate when you arrive in I meet the vaccine eligibility criteria
the UK?
Are you required to book a COVID-19 test Yes
package for when you arrive in the UK?
Your test package booking reference RANDX1515164
Arrival location London Stansted Airport (STN)
Date of arrival 30 August 2021 18:10 British Summer Time (BST)
Date of submission 28 August 2021 17:56 British Summer Time (BST)

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 UK Visas & Immigration

Personal information

Email address jotovey@hotmail.co.uk

Travel information

Do you have an address for where you will stay Yes

during your first 10 days in the UK?

You provided the following address as your Yes

residential address. Do you plan on staying at this
address?
24 BROOKLEAZE
BRISTOL
BS9 2EX

What address will you stay at for your first 10 days 24 BROOKLEAZE
in the UK? BRISTOL
BS9 2EX

When will you arrive there? 30 August 2021

Are you required to self-isolate when you arrive in I meet the vaccine eligibility criteria
the UK?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Stansted Airport (STN)

What country are you travelling from? France

Which company are you travelling with? Ryanair UK Limited

What is the flight number, train number or ship FR523

name that you will arrive on?

What is your seat number? 9A

Which countries have you been in, or will you be in, France
for the 10 days before coming to the UK?

Have you visited, or will you visit, any islands in this No

country during the 10 days before you arrive in the
UK?

Arrival date 20 August 2021

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 UK Visas & Immigration
Departure date 30 August 2021

Are you required to book a COVID-19 test package Yes

for when you arrive in the UK?

Your test package booking reference RANDX1515164

Are you using Test to Release? No

Your dates of travel

When do you plan to arrive in the UK? 30 August 2021 18:10 PM

Personal information

Given name(s) Joanne Mary

Family name / Surname Tovey

What is your sex? Female

Is your home address in the UK? Yes

Home address 24 BROOKLEAZE

BRISTOL
BS9 2EX
(address verified)

How can we contact you when you are in the UK? I can be contacted by phone call and text message
(SMS)

Date of birth 26 January 1963

Your primary phone number +44 7828174776

Your secondary phone number (optional) +33 682322823

Do you meet the COVID-19 vaccination eligibility Yes

criteria for reduced isolation and testing
requirements?

Have you been fully vaccinated from COVID-19? Yes

Which country did you receive your COVID-19 England (United Kingdom of Great Britain and
vaccination(s) in? Northern Ireland)

Passport and travel document details

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 UK Visas & Immigration
Passport number or travel document reference 559696780
number

Country of Issue British Citizen (GBR)

Expiry date 18 April 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?

Declaration
I declare that:

I will arrive in the UK within the next 48 hours

I understand I have to provide proof of a negative COVID-19 test prior to departure to the UK (unless I am
exempt)
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria
I have provided my seat number, if relevant
The information I have entered in this form is correct
I understand it could be a criminal offence to provide false details and I may be prosecuted

If any of your information changes once you have submitted your form, such as travel details, seat number, or
contact information, you must complete a new form.

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

Joanne Mary Tovey Page 4 of 4