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    Vac GRECE

    Uploaded by

    birchet.lay

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Vac GRECE

    Uploaded by

    birchet.lay
    3 views2 pages

    Original Title

    vac GRECE

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views2 pages

    Vac GRECE

    Uploaded by

    birchet.lay

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    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

    DIDOUCHE / - / SALAH Male / 30

    Mobile Phone Number Business Phone Number Home Phone Number


    Unique Code
    +33646865619 - -
    4140431646
    Other Phone Number Email Passport
    Date Submitted
    - [email protected] 16DZ44989
    2021-08-09

    1. .Transportation
    .... Information: Aircraft Flight Information
    Airline name Flight number

    LUFTHANSA LH1758

    Date of arrival Point of Entry in the Country

    2021-08-10 Heraklion

    Connection Flight Information


    Airline name Flight number Date of arrival

    - - -

    I Permanent Address
    --------
    Country State / Province City

    France Ile-de-France ISSY

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


    Cabin Number
    RUE DE LA PASTORALE 13 92130 -

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

    Greece - HERAKLION

    Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
    Cruise Ship Name Number
    MALIA CRETE 71307 HOTEL KONI VILLAGE -
    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

    DIDOUCHE MOHAMED Algeria / TIZI OUZOU

    Mobile Phone Number Other Phone Number Email


    +213656374288 - [email protected]

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

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

    1 HAIDAR / FERIEL / 171295354754 -

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

    SALAH DIDOUCHE -/ - -

    Type Manufacturer Country Certificate ID


    Other Digital / Non Pfizer BioNtech France -
    Digital

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