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COVID-19 Electronic Passenger Locator Form

Foirm Aimseartha Paisinéara Leictreonach COVID-19

Passenger Details
Sonraí Paisinéirí

Vaccinated

Erika Caroline De Freitas Vacsaínithe

Requires attention at the boarding gate Aird ag teastáil ag an ngeata bhordála

Flight Details
Sonraí Eitilte

Flight #
Expected Arrival Date
Expected Arrival Time

Eitilt # Dáta teachta sceidealaithe Am teachta sceidealaithe


FR23 05/10/2021 10:16

Departure Date
Connecting-only
Transiting to NI

Dáta imeacht Paisinéir idirthurais Ag dul go Tuaisceart na hÉireann


05/10/2021 N N

Contact Details
Sonraí teagmhála

Lead Passenger
Phone Number
Contact address in Ireland

Príomhphaisinéir Uimhir gutháin Seoladh nuair atá tú in Éirinn


Erika Caroline De Freitas +353830657399 265, South Circular Road

Dublin 8

Date of Birth
Countries Visited

dáta breithe Tíortha a raibh cuairt tugtha air


Dublin

10/06/1992 Netherlands D08 VW6N

Passport #

Pas #
FO274292

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