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UK Visas & Immigration

NAME: Dumitru Ciobanu


PASSPORT NUMBER: 1820219283552
DATE OF SUBMISSION:
FORM: Public Health Passenger Locator Form
REFERENCE:
REGISTRATION EMAIL: ciobanu_dumitru29@yahoo.com

Personal information

Email address ciobanu_dumitru29@yahoo.com

Travel information

What are your travel plans? Travel to the UK more than once within 48 hours, for
example as a haulier or crew member

Your planned travel information

When do you plan to arrive in the UK? 17 February 2021 16:30 PM

When do you plan to leave the UK? (optional) 12 September 2021

Personal information

Given name(s) Dumitru

Family name Ciobanu

What is your sex? Male

Is your home address in the UK? Yes

Home address Staples vegetables


Boston
PE229HE
(manually entered)

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

Date of birth 19 February 1982

Provide your primary telephone number +4077 409627

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UK Visas & Immigration
Provide your secondary telephone number +4078 5168701

Passport details

Passport number or travel document reference 1820219283552


number

Country of Issue Officially Stateless (XXX)

Issue date 3 October 2013

Expiry date 19 February 2023

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