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
PADUREANU / - / MAJA Female / 36
Mobile Phone Number Business Phone Number Home Phone Number
Unique Code
+40747377849 - -
4160954593
Other Phone Number Email Passport
Date Submitted
- maja.jakovlevska@gmail.co C1239300
m 2021-07-06
1. .Transportation
.... Information: Aircraft Flight Information
Airline name Flight number
Wizz Air W63055
Date of arrival Point of Entry in the Country
2021-07-09 Heraklion
Connection Flight Information
Airline name Flight number Date of arrival
- - -
I Permanent Address
--------
Country State / Province City
Romania Olt Slatina
Street (Name, Number, ZIP) Apartment Number / Previously Visited Country
Cabin Number
Str. Vailor 14 230057 -
1 Temporary
..... Address --------------------------------------------------------------------------------------
Country State / Province City
Greece - AGIOS NIKOLAOS
Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
Chortatson 12 72100 - -
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
CUKNI - NOVAKOVIKJ ANETA Greece / Agios Nikolaos
Mobile Phone Number Other Phone Number Email
+306938872401 - atacukni@gmail.com
1. . Travel
. . . . . . . . . . Companions
. . . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last (Family) Name / First Name Age Seat Number
1 PADUREANU / DAVID 1 -
1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . .–. . Non-Family
. . . . . . . . . . . . . . . . . ./. .Non-Same
. . . . . . . . . . . . . . . .Household
.......................
Number Last (Family) Name / First Name Group (Tour, Team, Business, Other)
1. . .Digital
. . . . . . . . . . Certificate
.................................................................................
First Name Last Name Passport / ID Number Expiration
MAJA PADUREANU -/ - -
Type Manufacturer Country Certificate ID
Other Digital / Non Pfizer BioNtech Romania -
Digital
