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    Passenger Locator Form: Personal Information

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    paulina.bugno

    Copyright:

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

    Passenger Locator Form: Personal Information

    Uploaded by

    paulina.bugno
    4 views2 pages

    Original Title

    plf (1)

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    Copyright:

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

    Passenger Locator Form: Personal Information

    Uploaded by

    paulina.bugno

    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 a certificate of a negative RT-PCR or antigen (rapid) test result to be allowed by the border authorities to
    enter the country. The certificates should be written in English and bear the name and passport/national ID number of the traveler.
    You may be retested upon arrival at your point of entry in Greece.

    1. .Personal
    . . . . . . . . . . . . . .Information
    ..................................................
    Last Name / Middle / First Name Sex / Age

    Bugno / - / Arkadiusz Male / 16

    Mobile Phone Number Business Phone Number Home Phone Number


    Unique Code
    +48534610818 - +48720861548
    7378459837
    Other Phone Number Email National ID
    Date Submitted
    - [email protected] DCL043647
    2021-08-31
    Professional Driver

    1. .Transportation
    . . . . . . . . . . . . . . . . . . . . . . .Information
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
    Ground transport Plate Number Carrier

    Bus - Sindbad

    Seat Number Date of arrival Point of Entry in the Country

    - 2021-09-06 Promachonas (Bulgaria)

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

    Poland - Zagorzany

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


    Cabin Number

    - - 38333 791

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

    Greece - Erateini

    Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
    Cruise Ship Name Number
    Tolofonos Beach 33058 Hotel Delphi Beach -
    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

    Bugno Marcin Poland / Zagorzany

    Mobile Phone Number Other Phone Number Email


    +48692927882 - [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. . .Digital
    . . . . . . . . . .Certificate
    .................................................................................
    First Name Last Name Passport / ID Number Expiration

    Arkadiusz Bugno -/ - -

    Type Manufacturer Country Certificate ID


    Other Digital / Non Unknown - -
    Digital

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