Passenger Locator Form: Green

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Passenger Locator Form

STATUS: GREEN
VACCINE STATUS: DECLARED FULL/EXEMPT

The code contains personal


information. By sharing the code,
you will be sharing your passenger
locator form data.

Summary
Name Cristian Florin Tudorache
Passport number 057018495
Which company are you travelling with? WIZZ AIR HUNGARY LTD
What is the flight number, train number or ship W93001
name that you will arrive on?
Reference UKVI_5ZAA015514932
Status GRN
What are your travel plans? Stay in the UK
Are you required to book a COVID-19 test Yes
package for when you arrive in the UK?
Your test package booking reference DANTF3940500
Arrival location London Luton Airport (LTN)
Date of arrival 23 September 2021 15:00 British Summer Time
(BST)
Date of submission 21 September 2021 21:52 British Summer Time
(BST)

Cristian Florin Tudorache Page 1 of 4


UK Visas & Immigration

Personal information

Email address criu.cristi@yahoo.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?
56 BOOTH CLOSE
LONDON
SE28 8BW

What address will you stay at for your first 10 days 56 BOOTH CLOSE
in the UK? LONDON
SE28 8BW

When will you arrive there? 23 September 2021

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Luton Airport (LTN)

What country are you travelling from? Romania

Which company are you travelling with? WIZZ AIR HUNGARY LTD

What is the flight number, train number or ship W93001


name that you will arrive on?

What is your seat number? 28B

Which countries have you been in, or will you be in, Romania
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?

Arrival date 23 September 2021

Departure date 23 September 2021

Are you required to book a COVID-19 test package Yes

Cristian Florin Tudorache Page 2 of 4


UK Visas & Immigration
for when you arrive in the UK?

Your test package booking reference DANTF3940500

Your dates of travel

When do you plan to arrive in the UK? 23 September 2021 15:00 PM

Personal information

Given name(s) Cristian Florin

Family name / Surname Tudorache

What is your sex? Male

Is your home address in the UK? Yes

Home address 56 BOOTH CLOSE


LONDON
SE28 8BW
(address verified)

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

Date of birth 22 July 1996

Your primary phone number +44 07908264546

Do you meet the COVID-19 vaccination eligibility Yes


criteria for reduced isolation and testing
requirements?

Have you been fully vaccinated from COVID-19? No, but I meet the COVID-19 vaccination status
eligibility requirements

Passport and travel document details

Passport number or travel document reference 057018495


number

Country of Issue Romania (ROU)

Expiry date 19 February 2029

People you are travelling with

Are you travelling to the UK with anyone under 18 No

Cristian Florin Tudorache Page 3 of 4


UK Visas & Immigration
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 I am
exempt)
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria
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 form, such as travel details, seat number, or
contact information, you must complete a new form.

I confirm that I understand and agree with the above declarations.

Cristian Florin Tudorache Page 4 of 4

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