Passenger Locator Form

You are required to carry a certificate of a negative RT-PCR or antigen (rapid) test result to be allowed by the border authorities to
enter the country. The certificates should be written in English and bear the name and passport/national ID number of the traveler.
You may be retested upon arrival at your point of entry in Greece.

1. .Personal
. . . . . . . . . . . . . .Information
..................................................
Last Name / Middle / First Name Sex / Age

Alexandru / - / Mariana Female / 18

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+40771056403 - -
7336916931
Other Phone Number Email National ID
Date Submitted
- mirelamirella380@gmail.com 669878
2021-09-24
Greek-EU Citizen

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . .Information
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Ground transport Plate Number Carrier

Bus - Lilian expresstravel

Seat Number Date of arrival Point of Entry in the Country

- 2021-09-25 Promachonas (Bulgaria)

1. .Permanent
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

Romania - Braila

Street (Name, Number, ZIP) Apartment Number / Previously Visited Country

Cabin Number

Strada ficusului Nr 15 817165 -

1. .Temporary
. . . . . . . . . . . . . . . . .Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Country State / Province City

Romania - Braila

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Strada Ficusului 817165 - -
 Passenger Locator Form

1. . Secondary
. . . . . . . . . . . . . . . . .Temporary
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

Street (Name, Number, ZIP) Hotel Name (If Any) / Cruise Apartment Number /
Ship Name Cabin Number

1. .Emergency
. . . . . . . . . . . . . . . . . .Contact
. . . . . . . . . . . . Information
..............................................................
Last (Family) Name First (Given) Name Country / City

Alexandru Mariana Romania / Braila

Mobile Phone Number Other Phone Number Email

+40771056403 - mirelamirella380@gmail.c
om

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last Name / First Name / Passport / ID Age Seat Number

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Non-Family
. . . . . . . . . . . . . . . . . ./. .Non-Same
. . . . . . . . . . . . . . . .Household
.......................
Number Last Name / First Name / Passport / ID Group (Tour, Team, Business, Other)

1. . .Digital
. . . . . . . . . .Certificate
.................................................................................
First Name Last Name Passport / ID Number Expiration

Mariana Alexandru -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Unknown - -
Digital