Passenger Locator Form

You are required to carry a certificate of a negative RT-PCR 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

Cojocariu / - / Constantin - Cristian Male / 48

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+40749397260 - -
4390779198
Other Phone Number Email Passport
Date Submitted
- steciucandreea@yahoo.com 057260898
2020-08-25
Professional Driver

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

Car BT 25 ALA -

Seat Number Date of arrival Point of Entry in the Country

- 2020-08-27 Promachonas (Bulgaria)

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

Romania Botosani Bucecea

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

Alecu Rallet 21 717045 -

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

Greece - Skala Potamia

Street (Name, Number, ZIP) Hotel Name (If Any) Apartment Number

GOLDEN bEACH 64004 - -

 Passenger Locator Form

Secondary Temporary Address

Country State / Province City

Street (Name, Number, ZIP) Hotel Name (If Any) Apartment Number

Emergency Contact Information

Last (Family) Name First (Given) Name Country / City

Mihai Madalina Romania / Piatra Neamt

Mobile Phone Number Other Phone Number Email

+40741315650 - maladina78@yahoo.com

Travel Companions – Family

Number Last (Family) Name / First Name Age Seat Number

1 Cojocariu / Alexandra 9 -

Travel Companions – Non-Family / Non-Same Household

Number Last (Family) Name / First Name Group (Tour, Team, Business, Other)