Passenger Locator Form

STATUS: AMBER
VACCINE STATUS: DECLARED FULL/EXEMPT

The code contains personal

information. By sharing the code,
you will be sharing your passenger
locator form data.

Summary
Name Ramazan refik Sasmaz
Passport number U14024575
Which company are you travelling with? Jet2.com Limited
What is the flight number, train number or ship 29edh6
name that you will arrive on?
Reference UKVI_5ZAA015674135
Status AMB
What are your travel plans? Stay in the UK
Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
the UK?
Are you required to book a COVID-19 test Yes
package for when you arrive in the UK?
Your test package booking reference RANDX3157366
Your Test to Release provider Randx3157366
Arrival location London Stansted Airport (STN)
Date of arrival 24 September 2021 02:20 British Summer Time
(BST)
Date of submission 22 September 2021 23:39 British Summer Time
(BST)

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 UK Visas & Immigration

Personal information

Email address refiksasmaz068@gmail.com

Your Profile

Given name(s) Ramazan refik

Family name / Surname Sasmaz

What is your sex? Male

Date of birth 29 November 1999

Your primary phone number +44 07340516686

How can we contact you when you are in the UK? I can be contacted by phone call and text message
(SMS)

Is your home address in the UK? Yes

Home address 46 ARMADA WAY

CHATHAM
ME4 6PH
(address verified)

Passport number or travel document reference U14024575

number

Country of Issue Turkey (TUR)

Expiry date 20 November 2021

Travel information

Do you have an address for where you will stay Yes

during your first 10 days in the UK?

You provided the following address as your Yes

residential address. Do you plan on staying at this
address?
46 ARMADA WAY
CHATHAM
ME4 6PH

What address will you stay at for your first 10 days 46 ARMADA WAY
in the UK? CHATHAM

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 UK Visas & Immigration
ME4 6PH

When will you arrive there? 24 September 2021

Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
the UK?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Stansted Airport (STN)

What country are you travelling from? Turkey

Which company are you travelling with? Jet2.com Limited

What is the flight number, train number or ship 29edh6

name that you will arrive on?

Which countries have you been in, or will you be in, Turkey
for the 10 days before coming to the UK?

Have you visited, or will you visit, any islands in this No

country during the 10 days before you arrive in the
UK?

Arrival date 3 August 2021

Departure date 23 September 2021

Are you required to book a COVID-19 test package Yes

for when you arrive in the UK?

Your test package booking reference RANDX3157366

Are you using Test to Release? Yes

Your Test to Release provider Randx3157366

Your dates of travel

When do you plan to arrive in the UK? 24 September 2021 02:20 AM

Personal information

Do you meet the COVID-19 vaccination eligibility Yes

criteria for reduced isolation and testing
requirements?

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 UK Visas & Immigration
Have you been fully vaccinated from COVID-19? No, but I meet the COVID-19 vaccination status
eligibility requirements

People you are travelling with

Are you travelling to the UK with anyone under 18 No

years old that you are including on this form?

Declaration
I declare that:

I will arrive in the UK within the next 48 hours

I understand I have to provide proof of a negative COVID-19 test prior to departure to the UK (unless I am
exempt)
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria
I have provided my seat number, if relevant
The information I have entered in this form is correct
I understand it could be a criminal offence to provide false details and I may be prosecuted

If any of your information changes once you have submitted your form, such as travel details, seat number, or
contact information, you must complete a new form.

I confirm that I understand and agree with the above declarations.

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