Passenger Locator Form

STATUS: NON-RED LIST

VACCINE STATUS: DECLARED FULL/EXEMPT

The code contains personal

information. By sharing the code,
you will be sharing your passenger
locator form data.

Summary
Name Alison Fenton
Passport number 528882633
Which company are you travelling with? British Airways plc
What is the flight number, train number or ship BA0066
name that you will arrive on?
Reference UKVI_5ZAA037606874
Status NON-RED LIST
Arrival location London Heathrow Airport (LHR)
Date of arrival 09 March 2022 07:10 Greenwich Mean Time
(GMT)
Date of submission 07 March 2022 13:12 Greenwich Mean Time
(GMT)

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 UK Visas & Immigration

Personal information

Email address afenton@btconnect.com

Travel information

Do you have an address for where you will stay Yes

during your first 10 days in the UK?

You provided the following address as your Yes

residential address. Do you plan on staying at this
address?
14 Rowallan Castle Estate
Kilmaurs
Kilmarnock
KA3 2LP

What address will you stay at for your first 10 days 14 Rowallan Castle Estate
in the UK? Kilmaurs
Kilmarnock
KA3 2LP

When will you arrive there? 9 March 2022

When will you leave there? 9 March 2022

Where will you arrive in the UK? London Heathrow Airport (LHR)

What country or territory are you travelling from? United States of America

Which company are you travelling with? British Airways plc

What is the flight number, train number or ship BA0066

name that you will arrive on?

Your cabin type or your coach number Aircraft - First

Which countries or territories have you been in, or United States of America
will you be in, for the 10 days before coming to the
UK?

Did you transit through this country or territory via No

plane or train without passing Border Control?

Have you visited, or will you visit, any islands in this No

country or territory during the 10 days before you
arrive in the UK?

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 UK Visas & Immigration

Departure date 8 March 2022

Your dates of travel

Which date do you plan to arrive in the UK? 9 March 2022 07:10 AM

Personal information

Given name(s) Alison

Family name / Surname Fenton

Date of birth 15 August 1955

Document type Passport

Nationality United Kingdom (UK British Citizen)

Country or territory of issue British Citizen (GBR)

Passport number or travel document reference 528882633

number

Expiry date 4 January 2025

Is your home address in the UK? Yes

Home address 14 Rowallan Castle Estate

Kilmaurs
Kilmarnock
KA3 2LP
(manually entered)

Your phone number +44 7713242080

Do you meet the COVID-19 vaccination eligibility Yes

criteria for reduced isolation and testing
requirements?

Do you have a QR code that you can use to verify No

your vaccination status?

Have you provided proof of your vaccination No

status?

How do you meet the COVID-19 vaccination status I am fully vaccinated by a recognised programme
eligibility requirements?

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 UK Visas & Immigration
Which country or territory did you receive your Scotland (United Kingdom of Great Britain and
COVID-19 vaccination(s) in? Northern Ireland)

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 understand I have to provide proof of my negative PCR or LFD coronavirus (COVID-19) test result, unless
I am exempt or meet vaccine eligibility criteria
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria. My
proof of vaccination status (if declared) contains my full name, date of birth, vaccine brand and
manufacturer, the dates for all my vaccination doses and the country of vaccination and/or certificate
issuer
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

I confirm that I understand and agree with the above declarations.

Alison Fenton Page 4 of 4