Passenger Locator Form: Amber

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Passenger Locator Form

FOR UK GOVERNMENT USE ONLY


STATUS: AMBER

The QR code contains personal


information submitted in the
passenger locator form.

Summary
Name Raees Qadir
Passport number 569755990
Which company are you travelling with? British Airways plc
What is the flight number, train service or ship BA286
name that you will arrive on?
Reference UKVI_5ZAA006650131
Status AMB
What are your travel plans? Stay in the UK
What best describes your situation? I need to self-isolate when I arrive in the UK, or I
am travelling from a low risk (green) list country
or island
Are you required to book coronavirus tests for Yes
when you arrive in the UK?
Covid test booking reference ODLTD7462067
Test to release provider n/a
Arrival location London Heathrow Airport (LHR)
Date of arrival 29 June 2021 13:45 British Summer Time (BST)
Date of submission 28 June 2021 00:50 British Summer Time (BST)

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UK Visas & Immigration

Personal information

Email address raeesq373@gmail.com

Your Profile

Given name(s) Raees

Family name Qadir

What is your sex? Male

Date of birth 21 March 2002

Your primary phone number +1 4087070087

Your secondary phone number (optional) +44 02089927419

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 6133 Dunn Ave


San Jose
California
95123
United States of America

Passport number or travel document reference 569755990


number

Country of Issue United States of America (USA)

Expiry date 19 November 2022

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? Mahmood Ahmad

What address will you stay at for your first 10 days flat 10 hart grove court
in the UK? Hart Grove
Ealing, London
W5 3ND

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UK Visas & Immigration
When will you arrive there? 29 June 2021

What best describes your situation? I need to self-isolate when I arrive in the UK, or I am
travelling from a low risk (green) list country or
island

What are your travel plans? Stay in the UK

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

What country are you travelling from? United States of America

Which company are you travelling with? British Airways plc

What is the flight number, train service or ship BA286


name that you will arrive on?

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

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


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

Departure date 28 June 2021

Your dates of travel

When do you plan to arrive in the UK? 29 June 2021 13:45 PM

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) Ilyas

Family name Qadir

Relationship to you Brother

Date of birth 7 May 2006

Is the person you are including 12 to 17 years old, Yes


or 12 to 15 years old if you are entering Scotland?

Passport number or travel document reference 569755988


number of the minor

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UK Visas & Immigration
Country of Issue United States of America (USA)

Expiry date 19 November 2022

Declaration
I declare that:

I will arrive in the UK within the next 48 hours


I understand I have to provide proof of a negative COVID 19 test prior to departure to the UK (unless
exempt)
I have provided my seat number, if relevant
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

If any of your information changes once you have submitted your details, such as travel details, seat number, or
contact information, you must complete a new form.

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

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