Passenger Locator Form

STATUS: NON-RED LIST

VACCINE STATUS: NO/NOT DECLARED

The code contains personal

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

Summary
Name Ramona Ciulin
Passport number 059910721
Which company are you travelling with? Ryanair UK Limited
What is the flight number, train number or ship Fr195
name that you will arrive on?
Reference UKVI_5ZAA025565984
Status NON-RED LIST
What are your travel plans? Stay in the UK
Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
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 DANTY0030791
Your Test to Release provider Dante Labs
Arrival location London Stansted Airport (STN)
Date of arrival 27 November 2021 07:40 Greenwich Mean Time
(GMT)
Date of submission 26 November 2021 09:16 Greenwich Mean Time
(GMT)

Ramona Ciulin Page 1 of 4

 UK Visas & Immigration

Personal information

Email address webdesignsourceromania@gmail.com

Travel information

Do you have an address for where you will stay Yes

during your first 10 days in the UK?

Who are you planning to stay with in the UK? Cristina Mihaela Popescu

What address will you stay at for your first 10 days 78 BANKFIELDS ROAD
in the UK? MIDDLESBROUGH
TS6 0TF

When will you arrive there? 27 November 2021

When will you leave there? 13 December 2021

Are you required to self-isolate when you arrive in I need to self-isolate when I arrive in the UK
the UK?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? London Stansted Airport (STN)

What country are you travelling from? Italy

Which company are you travelling with? Ryanair UK Limited

What is the flight number, train number or ship Fr195

name that you will arrive on?

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

Did you transit through this country via plane or No

train without passing Border Control?

Have you visited, or will you visit, any islands in this No

country during the 10 days before you arrive in the
UK?

Departure date 27 November 2021

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

for when you arrive in the UK?

Ramona Ciulin Page 2 of 4

 UK Visas & Immigration
Your test package booking reference DANTY0030791

Are you using Test to Release? Yes

Your Test to Release provider Dante Labs

Your dates of travel

When do you plan to arrive in the UK? 27 November 2021 07:40 AM

When do you plan to leave the UK? (optional) 13 December 2021

Personal information

Given name(s) Ramona

Family name / Surname Ciulin

What is your sex? Female

Is your home address in the UK? No

Home address 30 miron costin

Constanta
Romania

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

Date of birth 24 May 1975

Your primary phone number +39 3510120981

Do you meet the COVID-19 vaccination eligibility No/Prefer not to say

criteria for reduced isolation and testing
requirements?

Passport and travel document details

Passport number or travel document reference 059910721

number

Country of Issue Romania (ROU)

Expiry date 24 June 2031

People you are travelling with

Ramona Ciulin Page 3 of 4

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

Given name(s) Robert-Cristian

Family name / Surname Sandu

Relationship to you Son

Date of birth 11 May 2005

Is the person you are including 12 to 17 years old? Yes

Passport number or travel document reference 059910722

number of the minor

Country of Issue Romania (ROU)

Expiry date 24 June 2026

Declaration
I declare that:

I understand I have to provide proof of negative coronavirus (COVID-19) test result if I am travelling from a
red list country or island, or do not qualify as fully vaccinated, unless I am exempt
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria. My
proof of vaccination status (if declared) contains my full name, date of birth, vaccine brand and
manufacturer, the dates for all my vaccination doses and the country of vaccination and/or certificate
issuer
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

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

Ramona Ciulin Page 4 of 4