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

Folea / - / Georgeta-Madalina Female / 27

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+40767618843 - -
4166623510
Other Phone Number Email National ID
Date Submitted
+40767372429 fmadalina93@yahoo.com 317861
2021-08-15

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

Ryanair FR7564

Date of arrival Point of Entry in the Country

2021-08-19 Corfu

Connection Flight Information

Airline name Flight number Date of arrival

- - -

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

Romania Dolj Bailesti

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

Cabin Number
Eroilor 16 205100 -

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

Greece - Paleokastritsa

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Paleokastritsa 49083 - 49083
 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

Folea Cosmin Romania / Bailesti

Mobile Phone Number Other Phone Number Email

+40767372429 - cosmin1222@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. . .Digital
. . . . . . . . . . Certificate
.................................................................................
First Name Last Name Passport / ID Number Expiration

Georgeta-Madalina Folea -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Pfizer BioNtech Romania -
Digital