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COVID-19 Electronic Passenger Locator Form

Foirm Aimseartha Paisinéara Leictreonach COVID-19

Passenger Details
Sonraí Paisinéirí

Vaccinated

Libymol Siby Vacsaínithe

Requires attention at the boarding gate Aird ag teastáil ag an ngeata bhordála

Flight Details
Sonraí Eitilte

Flight #
Expected Arrival Date
Expected Arrival Time

Eitilt # Dáta teachta sceidealaithe Am teachta sceidealaithe


QR017 23/11/2021 12:45

Departure Date
Connecting-only
Transiting to NI

Dáta imeacht Paisinéir idirthurais Ag dul go Tuaisceart na hÉireann


23/11/2021 N N

Contact Details
Sonraí teagmhála

Lead Passenger
Phone Number
Contact address in Ireland

Príomhphaisinéir Uimhir gutháin Seoladh nuair atá tú in Éirinn


Libymol Siby +353870927761 70 Boromihe Beech

Swords

Date of Birth

dáta breithe
Co.dublin

02/08/1993 Dublin

K67DY88
Passport #

Pas #
R1458729

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