Passenger Locator Form

STATUS: NON-RED LIST

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 Gina Cristea
Passport number 060784151
Which company are you travelling with? Ryanair
What is the flight number, train number or ship P6G48F
name that you will arrive on?
Reference UKVI_5ZAA030139988
Status NON-RED LIST
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 CORTC4352151
Arrival location London Stansted Airport (STN)
Date of arrival 07 January 2022 08:05 Greenwich Mean Time
(GMT)
Date of submission 06 January 2022 14:20 Greenwich Mean Time
(GMT)

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 UK Visas & Immigration

Personal information

Email address savagedude110k@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?
40 SELSDON ROAD
LONDON
E139BX

What address will you stay at for your first 10 days 40 SELSDON ROAD
in the UK? LONDON
E139BX

When will you arrive there? 7 January 2022

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 or territory are you travelling from? Romania

Which company are you travelling with? Ryanair

What is the flight number, train number or ship P6G48F

name that you will arrive on?

Your cabin type or your coach number Aircraft - Economy

Which countries or territories have you been in, or Romania

will you be in, for the 10 days before coming to the
UK?

Did you transit through this country or territory via No

plane or train without passing Border Control?

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

country or territory during the 10 days before you

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 UK Visas & Immigration
arrive in the UK?

Arrival date (optional) 7 January 2022

Departure date 7 January 2022

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

for when you arrive in the UK?

Your test package booking reference CORTC4352151

Are you using Test to Release? No

Your dates of travel

When do you plan to arrive in the UK? 7 January 2022 08:05 AM

Personal information

Given name(s) Gina

Family name / Surname Cristea

What is your sex? Female

Is your home address in the UK? Yes

Home address 40 SELSDON ROAD

LONDON
E139BX
(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 24 September 1989

Your primary phone number +40 0799096787

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 060784151

number

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 UK Visas & Immigration
Country of Issue Romania (ROU)

Expiry date 17 December 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 understand I have to provide proof of my negative PCR or LFD coronavirus (COVID-19) test result, unless
I am exempt
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria. My
proof of vaccination status (if declared) contains my full name, date of birth, vaccine brand and
manufacturer, the dates for all my vaccination doses and the country of vaccination and/or certificate
issuer
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

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

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