UK Visas & Immigration

NAME: Miguel Angel Alvarez Diaz

PASSPORT NUMBER: PAL424104
DATE OF SUBMISSION: 17 August 2020 17:40 British Summer Time
(BST)
FORM: Public Health Passenger Locator Form
REFERENCE: 5ZAA017927498
REGISTRATION EMAIL: miguelangelalvarezdiaz@gmail.com

Personal information

Email address miguelangelalvarezdiaz@gmail.com

Travel information

Do you know where you will stay for your first 14 Yes
days in the UK?

Who are you planning to stay with in the UK? Julia Elliott

What address will you stay at for your first 14 days Truckers Hatch
in the UK? Horsham Road
Handcross
Haywards Heath
RH17 6DS

When will you arrive there? 19 August 2020

When will you leave there? 19 August 2021

Are you exempt from self-isolating for the first 14 No

days you are in the UK?

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

organised group?

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What are your travel plans? Stay in the UK

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

What country are you travelling from? Spain

Which operator will you be travelling with? Ryanair

What are the booking reference(s) for your travel? WCLJ3X

What is the flight number, train service or ship FR2714

name that you will arrive on?

What is your seat number? (if relevant) 19C

Which countries have you been in, or will you be in, Spain
for the 14 days before coming to the UK?

Departure date 19 August 2020

Your planned travel information

When do you plan to arrive in the UK? 19 August 2020 15:35 PM

Personal information

Are you completing this form for someone else? No

Given name(s) Miguel Angel

Family name Alvarez Diaz

Are you now or have you ever been known by No

another name?

What is your sex? Male

Residential address C/ Tenerías Nº 14

Hellín
Albacete
02400
Spain

Provide your telephone number 34633322458

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

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telephone number

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

Date of birth 1 July 1997

Passport details

Passport number or travel document reference PAL424104

number

Issuing authority DGP-02397L6P1

Issue date 30 June 2020

Expiry date 30 June 2025

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?

Emergency contact

Their name Luis Emilio Álvarez García

Their telephone number +34622839718

Their email address luisemilioalvarezgarcia@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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