UK Visas & Immigration

NAME: Yomi Abdulrahman Akobada

PASSPORT NUMBER: B00065567
DATE OF SUBMISSION: 17 March 2021 17:04 Greenwich Mean Time
(GMT)
FORM: Public Health Passenger Locator Form
REFERENCE: UKVI_5ZAA003472021
REGISTRATION EMAIL: ray_yom@yahoo.com
Have you visited a Red List country within the No
last 10 days and/or are required by law to
quarantine in a government approved facility?
Are you required to complete Covid tests? Yes
What is your booking reference for your Covid XNKQKP
tests?
What is the name of your test provider if you Corporate Travel Management(CTM)
have opted into Test to Release?
Arrival location Heathrow Airport To Newcastle Airport

Personal information

Email address ray_yom@yahoo.com

Your Profile

Given name(s) Yomi Abdulrahman

Family name Akobada

What is your sex? Male

Date of birth 10 May 1985

Provide your primary telephone number +234 08028729608

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 UK Visas & Immigration

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

Is your home address in the UK? No

Home address 9, Fatai Anjorin Street Gbagada

Gbagada Estate
Lagos State
100234
Nigeria

Passport number or travel document reference B00065567

number

Country of Issue Nigeria (NGA)

Expiry date 9 October 2024

Travel information

Do you know where you will stay for your first 10 Yes
days in the UK?

Who are you planning to stay with in the UK? Ihuoma

What address will you stay at for your first 10 days 31 CLAIRVILLE ROAD
in the UK? MIDDLESBROUGH
TS4 2HH

When will you arrive there? 18 March 2021

When will you leave there? 1 April 2021

Do you need to self-isolate when you arrive in the Yes, I need to self-isolate
UK?

What are your travel plans? Stay in the UK

What is the name of the airport, train station or Heathrow Airport To Newcastle Airport
port?

What country are you travelling from? Nigeria

Which company are you travelling with? British Airways plc

What is the flight number, train service or ship BOEING 777-200/300

name that you will arrive on?

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What is your seat number? (you must provide your 21
seat number if relevant. Include coach number if
travelling by train, for example coach 5 seat 2)

Which countries have you been in, or will you be in, United Kingdom of Great Britain and Northern
for the 10 days before coming to the UK? Ireland

What is the name of the island you have, or will Middlesbrough

visit?

Arrival date 18 March 2021

Departure date 18 March 2021

Your dates of travel

When do you plan to arrive in the UK? 18 March 2021 11:40 AM

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
exempt)
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 details, 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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