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

ungureanu / - / ionut alexandru Male / 34

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+40757070094 - -
4325696440
Other Phone Number Email Passport
Date Submitted
- onylui@yahoo.com 056195354
2021-08-26
Professional Driver

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

Car PH 01 AIU -

Seat Number Date of arrival Point of Entry in the Country

- 2021-09-02 Promachonas (Bulgaria)

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

Romania Prahova baicoi

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

Cabin Number

bucegi 8 105200 - Romania

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

Greece - nikiti

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
unnamed road 63088 - -
 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

Ungureanu andra raluca Romania / baicoi

Mobile Phone Number Other Phone Number Email

+40740031199 - andra.ungureanu@evaluei
nternational.ro

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

1 ungureanu / andra raluca / 056195356 34 -

2 ungureanu / karolina maria / 060131593 6 -

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

ionut alexandru ungureanu -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Pfizer BioNtech Romania -
Digital