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  • Belgian-Plf Madalina

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    Luminita Corozanu
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    This public health passenger locator form contains information about a traveler arriving in Belgium, including their name, date of birth, nationality, passport number, arrival date, flight details, current address in Belgium, and confirmation that they hold a valid vaccination certificate. The form is used to help protect public health by tracking traveler movements and vaccination status.

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    belgian-plf_Madalina

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    This public health passenger locator form contains information about a traveler arriving in Belgium, including their name, date of birth, nationality, passport number, arrival date, flight details, current address in Belgium, and confirmation that they hold a valid vaccination certificate. The form is used to help protect public health by tracking traveler movements and vaccination status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Belgian-Plf Madalina

    Uploaded by

    Luminita Corozanu
    This public health passenger locator form contains information about a traveler arriving in Belgium, including their name, date of birth, nationality, passport number, arrival date, flight details, current address in Belgium, and confirmation that they hold a valid vaccination certificate. The form is used to help protect public health by tracking traveler movements and vaccination status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Public Health Passenger Locator Form

    Thank you for helping us protect your health

    a9400087-d4b0-486e-8113-56fbfc8a96b3

    Family Name: ANDRONIC First Name: MARIA M?D?LINA Gender: Female


    Date of birth: 1993-10-05 Nationality: Romania
    Passport or ID card number: Are you a resident of
    2931005394445 Belgium?: No
    Mobile phone:
    +40721394754
    email address: simioanamadalin@gmail.com

    Arrival date: 2022-04-24

    Flight number: W63081

    Location From To
    Bucure?ti – Ilfov ( RO RO32 ) 2022-04-09 2022-04-24

    Street: Waterloosesteenweg Number: 212


    Country: Belgium Zip/postal code: 1640 City: Waterloo

    Do you hold any of the following certificates?:

    [V] Vaccination certificate

    Connecting flight (departing from Brussels): No

    I hereby declare that above-mentioned information has been filled in correctly.: [v]

    You can modify the PLF up to one day before your arrival in Belgium. Click here to modify your PLF.

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