UK Visas & Immigration

NAME: Cornelia Hanzel

PASSPORT NUMBER: 053306521
DATE OF SUBMISSION: 09 August 2020 17:42 British Summer Time
(BST)
FORM: Public Health Passenger Locator Form
REFERENCE: 5ZAA017118605
REGISTRATION EMAIL: hanzelcornelia@yahoo.com

Personal information

Email address hanzelcornelia@yahoo.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? Ioan Tomoiaga

What address will you stay at for your first 14 days 128 Marlborough Road
in the UK? Enter address 2
Romford
RM7 8AL

When will you arrive there? 10 August 2020

Are you exempt from self-isolating for the first 14 Yes

days you are in the UK?

Why are you exempt from self-isolation? Live in UK, work from another country, travel not
necessary every week,

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

organised group?

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 UK Visas & Immigration

What are your travel plans? Stay in the UK

Where will you arrive in the UK? Luton Airport

What country are you travelling from? Romania

Which operator will you be travelling with? Wizz Air

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

What is the flight number, train service or ship W63305

name that you will arrive on?

What is your seat number? (if relevant) 27E

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

Arrival date 3 August 2020

Departure date 10 August 2020

Your planned travel information

When do you plan to arrive in the UK? 10 August 2020 21:10 PM

Personal information

Are you completing this form for someone else? No

Given name(s) Cornelia

Family name Hanzel

Are you now or have you ever been known by No

another name?

What is your sex? Female

Residential address 128 Marlborough Road

Enter address 2
Romford
Essex
RM7 8AL
United Kingdom of Great Britain and Northern
Ireland

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 UK Visas & Immigration
Provide your telephone number 07739385603

Where do you use this telephone number? For use whilst in the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

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

Date of birth 27 September 1989

Passport details

Passport number or travel document reference 053306521

number

Issuing authority Romania

Issue date 6 November 2015

Expiry date 6 November 2020

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 Ioan Tomoiaga

Their telephone number 07448360638

Their email address ionuttomoiaga860@yahoo.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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