Registered Office Address:

Honeyman Group Limited trading as AssuredScreening.com,

Harmire Enterprise Park, Barnard Castle, DL12 8BN,
United Kingdom
www.assuredscreening.com

Laboratory Certificate of Analysis

PATIENT & PROVIDER DETAILS TEST DATES
Test Provider: AssuredScreening.com Date of Sample: 11 Jan 2022 11:45

Sub-Client/Site: Private Received at Laboratory: 12 Jan 2022 00:44

Patient/Ref: Chayanika Ghosh Tested at Laboratory: 12 Jan 2022 18:54

Patient DOB: 09 Dec 1988 Results Approved: 12 Jan 2022 21:08

Passport/ID #: U2653085 Certificate Issued: 12 Jan 2022 21:11

GENERAL TEST & REPORT INFORMATION

Sample Barcode ID: KGX95830 Report Status: Final

Reason for Test (if known): For outbound travel (COVID-free travel certificate)

Booking Confirmation Number: APPT1120084

(This number should match the passenger locator form details if the patient is taking the test as an International Arrival or Test to Release)

RESULT
TEST PARAMETER TEST RESULT
SARS-CoV-2 (COVID-19/Coronavirus)
RT-qPCR screen for active infection NEGATIVE
SEE PAGE 2 FOR TEST RESULT INFORMATION, GUIDANCE AND ADVICE
TEST RESULT NOTES VERIFICATION
This Throat/Nasal swab test has been carried out through nucleic acid The below QR code can be scanned with our verification app
amplification of RNA by RT-qPCR. Analysis is carried out via CE-IVD
to check validity of this certificate. Visit
certified testing kits using validated methods. AssuredScreening.com is
accredited in accordance with the recognised International Standard ISO/IEC www.assuredscreening.com/verify for more info.
17025. This accreditation demonstrates technical competence for a defined
scope and the operation of a laboratory quality management system (refer
joint ISO-ILAC-IAF communiqué dated April 2017).

AssuredScreening.com is registered by the Department of Health and Social

Care as a recognised COVID test provider.

As required by the Government, all final test results, regardless of outcome,

are provided to UK Health Security Agency for use in statistics and data
modelling. From this information, UKHSA will then enrol positive cases into
the NHS Test and Trace programme.

It should be noted that test results provide a momentary view and that an TESTING LABORATORY
individual’s health status may have changed since the sample specimen was
AssuredScreening.com
taken. Testing is provided on a best endeavours policy based on the sample
specimen supplied and does not provide a guarantee to the health status of Harmire Enterprise Park
individuals. No test is 100% accurate. Patients should follow the current Harmire Road
national coronavirus guidance and laws for the UK and any destination Barnard Castle
countries. Change in guidance by the UK government may supersede any
County Durham, DL12 8BN
information provided within this certificate.

This report should not be reproduced except in full. All times on this
certificate are in 24hr format

TEST RESULT COMMENTS

TEST CERTIFICATE APPROVED FOR RELEASE

Page 1 of 5 - ALL PAGES MUST BE INSPECTED FOR VALIDITY
 Registered Office Address:
Honeyman Group Limited trading as AssuredScreening.com,
Harmire Enterprise Park, Barnard Castle, DL12 8BN,
United Kingdom
www.assuredscreening.com

APPROVED BY: ISSUED DATE: 12 Jan 2022 21:11

KN

Page 2 of 5 - ALL PAGES MUST BE INSPECTED FOR VALIDITY

 Registered Office Address:
Honeyman Group Limited trading as AssuredScreening.com,
Harmire Enterprise Park, Barnard Castle, DL12 8BN,
United Kingdom
www.assuredscreening.com

ADVICE – GENERAL SCREENING/OUTBOUND TRAVEL

POSITIVE: Your coronavirus test result is POSITIVE. You had the virus when the test was done.
Even if you have not had symptoms of coronavirus, you must self-isolate for 10 days from the day after your test date. If you were already
self-isolating and had a test because you've been in close contact with someone who tested positive, your self-isolation period restarts if you
test positive. Your test sample may be genome sequenced to check whether you have a virus variant of concern or variant under investigation.

If you received a positive test result for the test taken you do not need to take any further tests. You may be contacted for contact tracing and
to check that you, and those who you live with are self-isolating (if required). You should inform your employer, school or nursery about
your result.

Contact 111 if you need medical help. In an emergency dial 999.

NEGATIVE: Your coronavirus test result is NEGATIVE. You did not have the virus when the test was done.
You should self-isolate again if you get symptoms of coronavirus (COVID-19) – get another coronavirus (COVID-19) test from
www.AssuredScreening.com or www.gov.uk/get-coronavirus-test and self-isolate until you get the results. For advice on when you might
need to self-isolate and what to do, go to http://www.nhs.uk/conditions/coronavirus-covid-19 and read ‘Self-isolation and treating symptoms’

UNCLEAR: Your coronavirus test result is UNCLEAR. It’s not possible to say if you had the virus when the test was done.
You should take another test or self-isolate for 10 days from the day after your test date. You maybe contacted to check that you are self-
isolating.

This is a valid result where the test has picked up some low strength signals but not with the required level of certainty to return a positive
result. Unclear results are typically seen in patients at very early onset of infection, can be the result of a poor quality swabbing of an active
infection or in patients who have previously had an infection (it can take many weeks after an infection for a patient to return a negative
result). If you have not recently tested positive for coronavirus, a retest with a fresh sample is advised (additional sample fee applies).

IF your result was FAIL, VOID or RETEST, follow the advice on pages 4 & 5 of this report.

ADVICE – DAY 2 & 8 INTERNATIONAL ARRIVALS

THIS ADVICE SECTION IS FOR CUSTOMERS BEING TESTED AS PART OF THE DAY 2 & 8
INTERNATIONAL ARRIVALS ONLY. SEE THE NEXT SHEET FOR OTHER TEST REASONS.
POSITIVE: Your coronavirus test result is POSITIVE. You had the virus when the test was done.
Even if you have not had symptoms of coronavirus, you must self-isolate for 10 days from the day after your test date. Your test sample may
be genome sequenced to check whether you have a virus variant of concern or variant under investigation.

If you received a positive test result for the test taken you do not need to take any further tests.

You may be contacted for contact tracing and to check that you, and those who you live or are travelling with, are self-isolating. You must
not travel, including to leave the UK, during self-isolation.

Contact 111 if you need medical help. In an emergency dial 999.

NEGATIVE: Your coronavirus (COVID-19) test result is NEGATIVE. You did not have the virus when the test was done.
You are not required to quarantine or take a day 8 test if you are travelling from a country not on the red list and meet the requirements of
being an ‘eligible’ traveller.

If you are travelling from a country not on the red list and are not an ‘eligible’ traveller, if you took the test on or before day 2 of your
quarantine period, you must continue to quarantine until you have completed the 10 day quarantine period and received a negative result for a
test taken on day 8. If you took the test on day 8, you may stop quarantining when you have completed your 10-day quarantine period.

You should self-isolate again if you get symptoms of coronavirus (COVID-19) – get another coronavirus (COVID-19) test from
www.AssuredScreening.com or www.gov.uk/get-coronavirus-test and self-isolate until you get the results. For advice on when you might
need to self-isolate and what to do, go to http://www.nhs.uk/conditions/coronavirus-covid-19 and read ‘Self-isolation and treating symptoms’

UNCLEAR: Your coronavirus test result is UNCLEAR. It’s not possible to say if you had the virus when the test was done.

Page 3 of 5 - ALL PAGES MUST BE INSPECTED FOR VALIDITY

 Registered Office Address:
Honeyman Group Limited trading as AssuredScreening.com,
Harmire Enterprise Park, Barnard Castle, DL12 8BN,
United Kingdom
www.assuredscreening.com

You must take another test or self-isolate for 10 days from the day after your test date. You maybe contacted to check that you are self-
isolating.

This is a valid result where the test has picked up some low strength signals but not with the required level of certainty to return a positive
result. Unclear results are typically seen in patients at very early onset of infection, can be the result of a poor quality swabbing of an active
infection or in patients who have previously had an infection (it can take many weeks after an infection for a patient to return a negative
result). If you have not recently tested positive for coronavirus, a retest with a fresh sample is advised (additional sample fee applies).

IF your result was FAIL, VOID or RETEST, follow the advice on pages 4 & 5 of this report.

ADVICE – TEST TO RELEASE

THIS ADVICE SHEET IS FOR CUSTOMERS BEING TESTED AS PART OF THE TEST TO
RELEASE SCHEME.
POSITIVE: Your coronavirus test result is POSITIVE. You had the virus when the test was done.
If you have not had symptoms of coronavirus, you must self-isolate for 10 days from the day after your test date. If you have symptoms of
coronavirus, you must self-isolate for 10 days from the day your symptoms started, if earlier than when you took your test. You may be
contacted for contact tracing and to check that you, and those who you live or are travelling with, are self-isolating.

You must not travel, including to leave the UK, during self-isolation. Contact 111 if you need medical help. In an emergency dial 999.

NEGATIVE: Your coronavirus test result is NEGATIVE. You did not have the virus when the test was done.
If you are self-isolating as an international arrival from a non-red country, region or territory, who was subject to a 10-day isolation period on
entry, you may stop self-isolating.

You should self-isolate if you get symptoms of coronavirus (you should get an NHS coronavirus test and self-isolate until you get the results).
For advice on when you might need to self-isolate and what to do, go to www.nhs.uk/conditions/coronavirus-covid-19 and read ‘Self-
isolation and treating symptoms’.

It is a legal requirement to self-isolate when you arrive in the UK from a non-red list country, territory, or region if you do not meet eligibility
criteria to remove the requirement to isolate. If you are contacted by the enforcement authorities or the police after you have received this
negative result, please show them this notification.

UNCLEAR: Your coronavirus test result is UNCLEAR. It’s not possible to say if you had the virus when the test was done.
You must, by law, continue self-isolating for the remainder of your self-isolation period as a non-eligible international arrival travelling to the
UK from a non-red list country, territory or region. You may be contacted to check that you are self-isolating. If you want to shorten your
self-isolation period you will need to take another test for international arrivals from non-red list countries, territories, or regions. For more
information, go to https://www.gov.uk/guidance/coronavirus-covid-19-test-to-release-for-internationaltravel.

This is a valid result where the test has picked up some low strength signals but not with the required level of certainty to return a positive
result. Unclear results are typically seen in patients at very early onset of infection, can be the result of a poor quality swabbing of an active
infection or in patients who have previously had an infection (it can take many weeks after an infection for a patient to return a negative
result). If you have not recently tested positive for coronavirus, a retest with a fresh sample is advised (additional sample fee applies).

OTHER OUTCOMES
FAIL: Your coronavirus test result is FAIL. It’s not possible to say if you had the virus when the test was done.
If you are were self-isolating as an international arrival, you must, by law, continue self-isolating for the remainder of your self-isolation
period as an international arrival travelling to the UK from a non-exempt country, territory or region. You may be contacted to check that you
are self-isolating. If you want to shorten your self-isolation period you will need to take another test for international arrivals.

Our tests look for human genetic material as an indication that a sufficient sample specimen has been collected during the swabbing process
to return a valid result. A FAIL result was returned due to either insufficient human genetic material being detected in the sample OR the
sample contained an unknown inhibitory substance.

Page 4 of 5 - ALL PAGES MUST BE INSPECTED FOR VALIDITY

 Registered Office Address:
Honeyman Group Limited trading as AssuredScreening.com,
Harmire Enterprise Park, Barnard Castle, DL12 8BN,
United Kingdom
www.assuredscreening.com

VOID: Your coronavirus test was rejected due to an issue (eg. Damaged sample tube, out of validity, no label, incorrect submission etc).
The reason for your VOID test will be listed in the comments section on page one.

If you are were self-isolating as an international arrival, you must, by law, continue self-isolating for the remainder of your self-isolation
period as an international arrival travelling to the UK from a non-exempt country, territory or region. You may be contacted to check that you
are self-isolating. If you want to shorten your self-isolation period you will need to take another test for international arrivals.

RETEST: Your coronavirus test has been tested but needs to be reprocessed (free of charge). This is unavoidable and occurs in a very
small number of samples. The retest will be taken from the existing sample. Unfortunately, this will delay the issuing of your final result.

Page 5 of 5 - ALL PAGES MUST BE INSPECTED FOR VALIDITY