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

Raducan / - / Marioara Female / 37

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+306976738017 - -
7192828550
Other Phone Number Email National ID
Date Submitted
+40762377924 marioara_raducan@yahoo.c 2831028394456
om 2021-01-09

1. .Transportation
.... Information: Aircraft Flight Information
Airline name Flight number

Tarom RO9301

Date of arrival Point of Entry in the Country

2021-01-10 Athens International Airport

Connection Flight Information

Airline name Flight number Date of arrival

- - -

I Permanent Address
--------
Country State / Province City

Romania Vrancea Golesti

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

Cabin Number
Dimitrie Cantemir 46 627150 - Romania

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

Greece - Athens ILION

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
IROON Polytechniou1 13122 - 3
 Passenger Locator Form

Secondary Temporary Address

Country State / Province City

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

Emergency Contact Information

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

Lilli Ioanna Greece / Athens

Mobile Phone Number Other Phone Number Email

+306944869692 - 45417373q@gmail.com

Travel Companions – Family

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

Travel Companions – Non-Family / Non-Same Household

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