UK Visas & Immigration

NAME: Mohammad Afzal

PASSPORT NUMBER: GW1519221
DATE OF SUBMISSION: 23 February 2021 14:23 Greenwich Mean Time
(GMT)
FORM: Public Health Passenger Locator Form
REFERENCE: UKVI_5ZAA002952240
REGISTRATION EMAIL: howdareyou97th@gmail.com
Have you visited a Red List country within the No
last 10 days and/or are required to quarantine in
a government approved facility?
If you are travelling directly into Scotland from
outside of the Common Travel Area, you are
required to enter managed isolation unless you
are eligible for an exemption; or if you are
travelling from the Republic of Ireland you are
only required to enter managed isolation if you
have been in a Red List country in the last 10
days.

Are you required to complete Covid tests? Yes

What is your booking reference for your Covid WXLQDQ
tests?
What is the name of your test provider if you CTM
have opted into Test to Release?
Arrival location London Heathrow Airport (LHR)

Personal information

Email address howdareyou97th@gmail.com

Your Profile

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 UK Visas & Immigration
Given name(s) Mohammad

Family name Afzal

What is your sex? Male

Date of birth 14 April 1963

Provide your primary telephone number +44 7852225952

Provide your secondary telephone number +44 7852225952

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

Home address 10
Lathom Road
LONDON
London
E62DU
United Kingdom of Great Britain and Northern
Ireland

Passport number or travel document reference GW1519221

number

Issuing authority Pakistan

Issue date 16 July 2018

Expiry date 15 July 2023

Travel information

Do you know where you will stay for your first 10 Yes
days in the UK?

You provided the following address as your Yes

residential address. Do you plan on staying at this
address?
10
Lathom Road
LONDON
E62DU

What address will you stay at for your first 10 days 10

in the UK? Lathom Road

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 UK Visas & Immigration
LONDON
E62DU

When will you arrive there? 24 February 2021

Do you need to self-isolate when you arrive in the Yes, I need to self-isolate
UK?

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? Pakistan

Which company are you travelling with? Qatar

What is the flight number, train service or ship QR015

name that you will arrive on?

Which countries have you been in, or will you be in, Pakistan
for the 10 days before coming to the UK?

Arrival date 10 January 2021

Departure date 24 February 2021

Your planned travel information

When do you plan to arrive in the UK? 24 February 2021 20:00 PM

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?

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.

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

Mohammad Afzal Page 4 of 4