Passenger Locator Form

STATUS: GREEN
VACCINE STATUS: NO/NOT DECLARED

The code contains personal

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

Summary
Name Ionut Mihail Vrinceanu
Passport number 060225383
Which company are you travelling with? WIZZ AIR HUNGARY LTD
What is the flight number, train number or ship W9 3001
name that you will arrive on?
Reference UKVI_5ZAA017338624
Status GRN
What are your travel plans? Stay in 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 TFALL4042581
Arrival location London Luton Airport (LTN)
Date of arrival 04 October 2021 02:30 British Summer Time
(BST)
Date of submission 03 October 2021 11:49 British Summer Time
(BST)

Ionut Mihail Vrinceanu Page 1 of 4

 UK Visas & Immigration

Personal information

Email address vrinceanuionut442@gmail.com

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?
52 GURNARDS AVENUE
FISHERMEAD
MILTON KEYNES
Mk6 2bl

What address will you stay at for your first 10 days 52 GURNARDS AVENUE
in the UK? FISHERMEAD
MILTON KEYNES
Mk6 2bl

When will you arrive there? 4 October 2021

When will you leave there? 27 April 2022

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Luton Airport (LTN)

What country are you travelling from? Romania

Which company are you travelling with? WIZZ AIR HUNGARY LTD

What is the flight number, train number or ship W9 3001

name that you will arrive on?

What is your seat number? 11E

Which countries have you been in, or will you be in, Romania
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 4 October 2021

Ionut Mihail Vrinceanu Page 2 of 4

 UK Visas & Immigration
Departure date 4 October 2021

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

for when you arrive in the UK?

Your test package booking reference TFALL4042581

Your dates of travel

When do you plan to arrive in the UK? 4 October 2021 02:30 AM

When do you plan to leave the UK? (optional) 27 April 2022

Personal information

Given name(s) Ionut Mihail

Family name / Surname Vrinceanu

What is your sex? Male

Is your home address in the UK? Yes

Home address 52 GURNARDS AVENUE

FISHERMEAD
MILTON KEYNES
Mk6 2bl
(address verified)

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

Date of birth 3 December 1999

Your primary phone number +44 7909451821

Do you meet the COVID-19 vaccination eligibility No/Prefer not to say

criteria for reduced isolation and testing
requirements?

Passport and travel document details

Passport number or travel document reference 060225383

number

Country of Issue Romania (ROU)

Ionut Mihail Vrinceanu Page 3 of 4

 UK Visas & Immigration
Expiry date 5 August 2031

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.

Ionut Mihail Vrinceanu Page 4 of 4