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

Ziavras / - / Panagiotis Male / 34

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+306947979968 - -
4154801612
Other Phone Number Email National ID
Date Submitted
- panzkrou@gmail.com ΑΟ640193
2021-11-19

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

Aegean A3541

Date of arrival Point of Entry in the Country

2021-11-21 Thessaloniki

Connection Flight Information

Airline name Flight number Date of arrival

- - -

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

Greece - Athens

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

Cabin Number
Irinis 89 15341 - Germany

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

Greece - Athens

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Irinis 15341 - -
 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

Amanatiadou Eirini Greece / Athens

Mobile Phone Number Other Phone Number Email

+306983774236 - amanatiadoueirini@gmail.
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. . .Certificate
...........................................................................................
Certificate Type Manufacturer Country Certificate ID
Vaccination Astra Greece -
Zeneca/Oxford