Passenger Locator Form

You are required to carry your vaccination certificate to be allowed by the border authorities to enter the country.

1. .Personal
. . . . . . . . . . . . . .Information
..................................................
Last Name / Middle / First Name Sex / Age

POPOV / - / ALEKSANDAR Male / 43

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+38970303022 +38970303022 -
4390505064
Other Phone Number Email Passport
Date Submitted
- natasapopov84@gmail.com C1116891
2021-08-13
Professional Driver

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . .Information
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Ground transport Plate Number Carrier

Car SK 7692BB -

Seat Number Date of arrival Point of Entry in the Country

- 2021-08-15 Evzoni (North Macedonia)

1. .Permanent
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

North Macedonia - SHTIP

Street (Name, Number, ZIP) Apartment Number / Previously Visited Country

Cabin Number

HRISTIJAN KARPOSH 40-1 2000 -

1. .Temporary
. . . . . . . . . . . . . . . . .Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Country State / Province City

Greece - NEI PORI

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
NEI PORI 60063 VILA MEDITERAN-NEI 102-1 ST FLOOR
PORI
 Passenger Locator Form

1. . Secondary
. . . . . . . . . . . . . . . . .Temporary
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

Street (Name, Number, ZIP) Hotel Name (If Any) / Cruise Apartment Number /
Ship Name Cabin Number

1. .Emergency
. . . . . . . . . . . . . . . . . .Contact
. . . . . . . . . . . . Information
..............................................................
Last (Family) Name First (Given) Name Country / City

POPOV NATASHA North Macedonia / SHTIP

Mobile Phone Number Other Phone Number Email

+38978270470 - natasapopov84@gmail.co
m

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last Name / First Name / Passport / ID Age Seat Number

1 POPOV / NATASHA / C0420370 37 -

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Non-Family
. . . . . . . . . . . . . . . . . ./. .Non-Same
. . . . . . . . . . . . . . . .Household
.......................
Number Last Name / First Name / Passport / ID Group (Tour, Team, Business, Other)

1 POPOV / VIKTORIJA / C1536236 -

2 POPOVA / VIOLETA / C0208635 -

1. . .Digital
. . . . . . . . . .Certificate
.................................................................................
First Name Last Name Passport / ID Number Expiration

ALEKSANDAR POPOV -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Sinopharm North -
Digital Macedonia