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UK Visas & Immigration NAME:
Dan Andrei Scutelnicu
PASSPORT NUMBER:
056985781
DATE OF SUBMISSION:
26 July 2020 10:44 British Summer Time (BST)
FORM:
Public Health Passenger Locator Form
REFERENCE:
5ZAA015949139
REGISTRATION EMAIL:
[email protected]
Personal information Email address
[email protected]
Travel information Do you know where you will stay for your first 14 days in the UK?
Yes
What address will you stay at for your first 14 days in the UK?
33 St Peters Avenue Northants Kettering NN16 0HB
When will you arrive there?
27 July 2020
When will you leave there?
10 August 2020
Are you exempt from self-isolating for the first 14 days you are in the UK?
No
Will you be travelling to the UK as part of an organised group?
No
What are your travel plans?
Stay in the UK
Where will you arrive in the UK?
Luton Airport
What country are you travelling from?
Romania
Which operator will you be travelling with?
WizzAir
What are the booking reference(s) for your travel?
RJQF7E
What is the flight number, train service or ship name that you will arrive on?
W63301
Dan Andrei Scutelnicu
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UK Visas & Immigration What is your seat number? (if relevant)
1D
Which countries have you been in, or will you be in, Romania for the 14 days before coming to the UK? Arrival date
2 June 2020
Departure date
27 July 2020
Your planned travel information When do you plan to arrive in the UK?
27 July 2020 09:30 AM
When do you plan to leave the UK? (optional)
27 October 2020
Personal information Are you completing this form for someone else?
No
Given name(s)
Dan Andrei
Family name
Scutelnicu
Are you now or have you ever been known by another name?
No
What is your sex?
Male
Residential address
Sergent Hategan bl. B7, ap.11 Aiud Alba 515200 Romania
Provide your telephone number
0040747276699
Where do you use this telephone number?
For use whilst in the UK For use whilst out of the UK
Select whether this is your home, mobile or work telephone number
Mobile telephone number
Provide your telephone number
447392751207
Where do you use this telephone number?
For use whilst in the UK
Select whether this is your home, mobile or work
Business telephone number
Dan Andrei Scutelnicu
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UK Visas & Immigration telephone number Are you able to be contacted by telephone?
I can be contacted by telephone call and text message (SMS)
What is your preferred contact number?
0040747276699
Date of birth
23 May 1984
Passport details Passport number or travel document reference number
056985781
Issuing authority
Alba
Issue date
12 February 2019
Expiry date
12 February 2029
People you are travelling with Are you travelling to the UK with anyone under 18 years old, that you are including on this form?
No
Emergency contact Their name
Taielup Adrian
Their telephone number
07784730748
Their email address
[email protected]
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 confirm that I understand and agree with the above declarations.
Dan Andrei Scutelnicu
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