Passenger Locator Form

STATUS: NON-RED LIST

VACCINE STATUS: DECLARED FULL/EXEMPT

The code contains personal

information. By sharing the code,
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locator form data.

Summary
Name Karen Juliza Solorzano Posas
Passport number G103918
Which company are you travelling with? EasyJet
What is the flight number, train number or ship EZY8662
name that you will arrive on?
Reference UKVI_5ZAA029042522
Status NON-RED LIST
What are your travel plans? Stay in the UK
Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
the UK?
Are you required to book a COVID-19 test Yes
package for when you arrive in the UK?
Your test package booking reference RANDX5558639
Arrival location London Gatwick Airport (LGW)
Date of arrival 29 December 2021 11:45 Greenwich Mean Time
(GMT)
Date of submission 28 December 2021 16:55 Greenwich Mean Time
(GMT)

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Personal information

Email address karensolorzano0@gmail.com

Your Profile

Given name(s) Karen Juliza

Family name / Surname Solorzano Posas

What is your sex? Female

Date of birth 12 March 1995

Your primary phone number +34 722391213

How can we contact you when you are in the UK? I can be contacted by phone call and text message
(SMS)

Is your home address in the UK? No

Home address Carretera Almansa n 16

Fuente álamo
Albacete
02651
Spain

Passport number or travel document reference G103918

number

Country of Issue Honduras (HND)

Expiry date 15 October 2024

Travel information

Do you have an address for where you will stay Yes

during your first 10 days in the UK?

Who are you planning to stay with in the UK? Friends

What address will you stay at for your first 10 days 48 NEW ROAD
in the UK? STOKENCHURCH
HIGH WYCOMBE
HP14 3SQ

When will you arrive there? 29 December 2021

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When will you leave there? 3 January 2022

Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
the UK?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Gatwick Airport (LGW)

What country or territory are you travelling from? Spain

Which company are you travelling with? EasyJet

What is the flight number, train number or ship EZY8662

name that you will arrive on?

Which countries or territories have you been in, or Spain

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?

Departure date 29 December 2021

Are you required to book a COVID-19 test package Yes

for when you arrive in the UK?

Your test package booking reference RANDX5558639

Your dates of travel

When do you plan to arrive in the UK? 29 December 2021 11:45 AM

Personal information

Do you meet the COVID-19 vaccination eligibility Yes

criteria for reduced isolation and testing
requirements?

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

Which country or territory did you receive your Honduras

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 UK Visas & Immigration
COVID-19 vaccination(s) in?

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
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.

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