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    John Andrew 2021-10!16!09-18 Incomplete Application

    Uploaded by

    John Russell

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    John Andrew 2021-10!16!09-18 Incomplete Application

    Uploaded by

    John Russell
    11 views4 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views4 pages

    John Andrew 2021-10!16!09-18 Incomplete Application

    Uploaded by

    John Russell

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Passenger Locator Form

    STATUS: NON-RED LIST


    VACCINE STATUS: DECLARED FULL/EXEMPT

    Summary
    Name Andrew John
    Passport number 514735468
    Which company are you travelling with? KLM NV (ROYAL DUTCH AIRLINES)
    What is the flight number, train number or ship KL1423
    name that you will arrive on?
    Reference
    Status NON-RED LIST
    What are your travel plans? Stay in the UK
    Are you required to book a COVID-19 test No, I am exempt
    package for when you arrive in the UK?
    Arrival location Birmingham Airport (BHX)
    Date of arrival 16 October 2021 10:15 British Summer Time
    (BST)
    Date of submission

    Andrew John Page 1 of 4


    UK Visas & Immigration

    Personal information

    Email address johnrussell1971@gmail.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?
    6 OLD BARN CLOSE
    GNOSALL
    STAFFORD
    St20 0dy

    What address will you stay at for your first 10 days 6 OLD BARN CLOSE
    in the UK? GNOSALL
    STAFFORD
    St20 0dy

    When will you arrive there? 16 October 2021

    What are your travel plans? Stay in the UK

    Where will you arrive in the UK? Birmingham Airport (BHX)

    What country are you travelling from? Sweden

    Which company are you travelling with? KLM NV (ROYAL DUTCH AIRLINES)

    What is the flight number, train number or ship KL1423


    name that you will arrive on?

    Which countries have you been in, or will you be in, Sweden
    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 16 October 2021

    Are you required to book a COVID-19 test package No, I am exempt


    for when you arrive in the UK?

    Andrew John Page 2 of 4


    UK Visas & Immigration
    Your dates of travel

    When do you plan to arrive in the UK? 16 October 2021 10:15 AM

    Personal information

    Given name(s) Andrew

    Family name / Surname John

    What is your sex? Male

    Is your home address in the UK? Yes

    Home address 6 OLD BARN CLOSE


    GNOSALL
    STAFFORD
    St20 0dy
    (address verified)

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

    Date of birth 5 September 1971

    Your primary phone number +44 7527356400

    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?

    Have you been fully vaccinated from COVID-19? Yes

    Which country did you receive your COVID-19 England (United Kingdom of Great Britain and
    vaccination(s) in? Northern Ireland)

    Passport and travel document details

    Passport number or travel document reference 514735468


    number

    Country of Issue British Citizen (GBR)

    Andrew John Page 3 of 4


    UK Visas & Immigration

    Expiry date 27 July 2023

    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?

    Andrew John Page 4 of 4

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