UK Visas & Immigration

NAME: Jose Manuel Pumar Beltran

PASSPORT NUMBER: AAD224931
DATE OF SUBMISSION: 26 July 2020 07:20 British Summer Time (BST)
FORM: Public Health Passenger Locator Form
REFERENCE: 5ZAA015933913
REGISTRATION EMAIL: josempumar@gmail.com

Personal information

Email address josempumar@gmail.com

Travel information

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

organised group?

What are your travel plans? Change flights in the UK within 24 hours, without
going through UK border control

Where will you arrive in the UK? Heathrow Airport

What country are you travelling from? Iceland

Which operator will you be travelling with? Icelandair

What are the booking reference(s) for your travel? NGBQTK

What is the flight number, train service or ship FI450

name that you will arrive on?

What is your seat number? (if relevant) 25E

Where will you depart from the UK? Heathrow Airport

What country are you travelling to? Spain

Which operator will you be travelling with? Iberia

What are the booking reference(s) for your travel? NGBQTK

What is the flight number, train service or ship IB3167

name that you will depart on?

Your planned travel information

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When do you plan to arrive in the UK? 26 July 2020 11:45 AM

When do you plan to leave the UK? (optional) 26 July 2020

Personal information

Are you completing this form for someone else? No

Given name(s) Jose Manuel

Family name Pumar Beltran

Are you now or have you ever been known by No

another name?

What is your sex? Male

Residential address Ruperto Chapi, 33

Alcobendas
Madrid
28100
Spain

Provide your telephone number 34607665816

Where do you use this telephone number? For use whilst out of the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

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

Date of birth 21 July 1966

Passport details

Passport number or travel document reference AAD224931

number

Issuing authority Spain

Issue date 9 March 2011

Expiry date 9 March 2021

People you are travelling with

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Are you travelling to the UK with anyone under 18 Yes
years old, that you are including on this form?

Given name(s) Pol

Family name Pumar Núñez

Relationship to you Son

Date of birth 24 November 2004

Emergency contact

Their name Montserrat

Their telephone number +34607665816

Their email address montsendg@gmail.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 confirm that I understand and agree with the above declarations.

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