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

Metodieva / I / Petya Female / 43

Mobile Phone Number Business Phone Number Home Phone Number

Unique Code
+359886130332 - -
4216466088
Other Phone Number Email Passport
Date Submitted
- peti05@abv.bg 385947908
2021-07-27

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . Information:
. . . . . . . . . . . . . . . . . . . Cruise
. . . . . . . . . . .Ship
. . . . . . . Information
. . . . . . . . . . . . . . . ..
Cruise Line Name Cruise Ship Name Cabin Number

MSC splendida 10105

Date of disembarkation Point of Entry in the Country

2021-07-28 Piraeus Port

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

Bulgaria - Sofia

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

Cabin Number
Lyublyana 34 1618 -

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

Italy - Bari

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
70121 - -
 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

Dimov Peter Bulgaria / Sofia

Mobile Phone Number Other Phone Number Email

+359887095959 - peti05@abv.bg

1. . Travel
. . . . . . . . . . Companions
. . . . . . . . . . . . . . . . . . . .–. . .Family
...........................................................
Number Last (Family) Name / First Name Age Seat Number

1 Dimova / Yoana 16 7C

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

1. . .Information
. . . . . . . . . . . . . . . . . .for
. . . . .Cruise
. . . . . . . . . . Ship
. . . . . . . .Crew
..................................................
Working Sector on Board

Co-habitants in Cabin
Number Last (Family) Name First (Given) Name

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

Petya Metodieva -/ - -

Type Manufacturer Country Certificate ID

Other Digital / Non Astra Bulgaria -
Digital Zeneca/Oxford