Search 
The form was submitted. Please print it and have it with you during
the travel.
Passenger Locator Form
Submitted
2022-02-21 09:10:27
The information you provide will assist the Portuguese public health
authorities to trace passengers who may have been exposed to COVID-19.
The information is intended to be held by the Portuguese public health
authorities in accordance with applicable law and to be used only for
public health purposes.
All fields are mandatory. The form can be submitted within 4 days prior to
arrival in Portugal. Once submitted, you will receive a notification that you
should keep with you, digitally or printed, during your trip.
For further information see Decree Law | DRE
Flight Information
Airline
Other
Deutsche LufthanS.A. Ag.
Flight number
TP579
check the flight number on your
boarding pass
Date of arrival
22/02/2022
Seat number
27C
where you actually sat
Time of arrival
19:55
Coming from
Going to
GERMANY
Lisboa
Personal Information
Are you a crew member?
Yes
No
Full name (first name followed by family name(s))
Christian Riedl
Identification document
Citizen Card
Number of document
LF084WH35
Date of birth
Gender
01/03/1972
Other
Address in Portugal (Street name, door number, floor, apartment)
Avenida de Roma no 16, 4 esquerdo
City in Portugal
Lisboa
Postal Code in Portugal
1000-265
Mobile phone number (please include country code if applicable)
+49
1731858100
Email Address
an@copersis.com
Permanent address is the same as above
Permanent address (if not Portugal)
Leonrodstr 34
City and State/Province
Country
GERMANY
München
ZIP/Postal code
80636
Emergency contact information
Contact information of the person who will easily reach you in the next 15
days, in case of emergency.
This must NOT be yourself.
Full name
Paula Villaláz
Mobile phone number (please include country code if applicable)
+49
15156341571
I understand this form and the Directorate-General of Health, as the
owner of the data, comply with the GDPR and the Portuguese Law
58/2019, from August 8th, and the data is retained for 15 days after the
flight date, after which will be deleted.
Turismo de Portugal © 2020 - All Rights Reserved
Project by