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

Islam / - / Islam Male / 54

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+38978214140 +38978214140 -
9385602277
Other Phone Number Email Passport
Date Submitted
- senay.duka@gmail.com C1423454
2020-09-28
Professional Driver

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . .Information
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Ground transport Plate Number Carrier

Bus Sk 9231 AZ / SK 7071 AV INTERGENEKS

Seat Number Date of arrival Point of Entry in the Country

- 2020-09-29 Evzoni (North Macedonia)

1. .Permanent
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

North Macedonia Skopje Skopje

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

Cabin Number

Krste Asenov 10-10 5 1000 - North Macedonia

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

North Macedonia Skopje Skopje

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Krste Asenov 1000 - -
 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

Daca Senad North Macedonia / Skopje

Mobile Phone Number Other Phone Number Email

+38975205136 - senay.duka@gmail.com

Travel Companions – Family

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

1 RAKJIPI / Momin 59 -

Travel Companions – Non-Family / Non-Same Household

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