UK Visas & Immigration: Personal Information

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UK Visas & Immigration

NAME: Hibaalla Ahmad Suleiman Orabi


UNIQUE APPLICATION NUMBER: 1212-0000-0030-2830/00
PASSPORT NUMBER: P223261
DATE OF SUBMISSION: 20 November 2020 16:22 Greenwich Mean Time
(GMT)
FORM: Public Health Passenger Locator Form
REFERENCE: UKVI_5ZAA000204614
REGISTRATION EMAIL: ummhaytham2020@gmail.com

Personal information

Email address ummhaytham2020@gmail.com

Travel information

Do you know where you will stay for your first 14 Yes
days in the UK?

You provided the following address as your Yes


residential address. Do you plan on staying at this
address?
2 Knowles Road
Mount Pleasant
Batley
WF17 7RT

What address will you stay at for your first 14 days 2 Knowles Road
in the UK? Mount Pleasant
Batley
WF17 7RT

When will you arrive there? 22 November 2020

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UK Visas & Immigration
Are you exempt from self-isolating for the first 14 No
days you are in the UK?

Will you be travelling to the UK as part of an No


organised group?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? Heathrow Airport - Terminal 2

What country are you travelling from? Jordan

Which operator will you be travelling with? Royal Jordanian

What is the flight number, train service or ship RJ111


name that you will arrive on?

What is your seat number? (you must provide your 5B


seat number if relevant. Include coach number if
travelling by train, for example coach 5 seat 2)

Which countries have you been in, or will you be in, Jordan
for the 14 days before coming to the UK?

Departure date 22 November 2020

Your planned travel information

When do you plan to arrive in the UK? 22 November 2020 14:45 PM

Personal information

Are you completing this form for someone else? No

Given name(s) Hibaalla Ahmad Suleiman

Family name Orabi

What is your sex? Female

Residential address 2 Knowles Road


Mount Pleasant
Batley
West Yorkshire
WF17 7RT
United Kingdom of Great Britain and Northern
Ireland

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

Date of birth 13 June 1998

Provide your primary telephone number +962 797491441

Provide your secondary telephone number +44 7825986289

Passport details

Passport number or travel document reference P223261


number

Issuing authority Jordan

Issue date 2 October 2018

Expiry date 1 October 2023

People you are travelling with

Are you travelling to the UK with anyone under 18 Yes


years old, that you are including on this form?

Given name(s) Haytham

Family name Sufi

Relationship to you Son

Date of birth 21 December 2019

Emergency contact

Their name Suhail Sufi

Their telephone number 07825986289

Their email address suhailsufi@hotmail.com

Declaration
I declare that:

I will arrive in the UK within the next 48 hours


the information I have entered in this form is correct
I have given permission to receive a copy of my form via email

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UK Visas & Immigration
I confirm that I understand and agree with the above declarations.

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