Passenger Locator Form
STATUS: NON-RED LIST
VACCINE STATUS: VERIFIED FULL/EXEMPT
The code contains personal
information. By sharing the code,
you will be sharing your passenger
locator form data.
Summary
Name
James James Taylor
Passport number
530483039
Which company are you travelling with?
EASYJET EUROPE AIRLINE GMBH
What is the flight number, train number or ship
name that you will arrive on?
Ezy8485
Reference
UKVI_5ZAA020242359
Status
NON-RED LIST
What are your travel plans?
Stay in the UK
Are you required to book a COVID-19 test
package for when you arrive in the UK?
Yes
Your test package booking reference
CTLME3101821
Arrival location
London Gatwick Airport (LGW)
Date of arrival
21 October 2021 22:25 British Summer Time
(BST)
Date of submission
21 October 2021 17:31 British Summer Time
(BST)
James James Taylor
Page 1 of 4
UK Visas & Immigration
Personal information
Email address
jt14812@gmail.com
Your Profile
Given name(s)
James
Family name / Surname
James Taylor
What is your sex?
Male
Date of birth
14 June 1996
Your primary phone number
+44 7859048771
How can we contact you when you are in the UK?
I can only be contacted by text message (SMS)
Is your home address in the UK?
Yes
Home address
28 TAMWORTH DRIVE
FLEET
GU51 2UW
(address verified)
Passport number or travel document reference
number
530483039
Country of Issue
British Citizen (GBR)
Expiry date
7 May 2025
Travel information
Do you have an address for where you will stay
during your first 10 days in the UK?
Yes
You provided the following address as your
residential address. Do you plan on staying at this
address?
28 TAMWORTH DRIVE
FLEET
GU51 2UW
Yes
What address will you stay at for your first 10 days
in the UK?
28 TAMWORTH DRIVE
FLEET
GU51 2UW
James James Taylor
Page 2 of 4
UK Visas & Immigration
When will you arrive there?
21 October 2021
When will you leave there?
27 November 2021
What are your travel plans?
Stay in the UK
Where will you arrive in the UK?
London Gatwick Airport (LGW)
What country are you travelling from?
Switzerland
Which company are you travelling with?
EASYJET EUROPE AIRLINE GMBH
What is the flight number, train number or ship
name that you will arrive on?
Ezy8485
Which countries have you been in, or will you be in, Switzerland
for the 10 days before coming to the UK?
Have you visited, or will you visit, any islands in this No
country during the 10 days before you arrive in the
UK?
Arrival date
16 October 2021
Departure date
21 October 2021
Are you required to book a COVID-19 test package Yes
for when you arrive in the UK?
Your test package booking reference
CTLME3101821
Your dates of travel
When do you plan to arrive in the UK?
21 October 2021 22:25 PM
Personal information
Do you meet the COVID-19 vaccination eligibility
criteria for reduced isolation and testing
requirements?
Yes
Do you have a QR code that you can use to verify
your vaccination status?
Yes
How would you like to provide proof of your
vaccination status?
Attach a file or screenshot containing a QR code
Have you provided proof of your vaccination
Yes
James James Taylor
Page 3 of 4
UK Visas & Immigration
status?
Have you been fully vaccinated from COVID-19?
Yes
Which country did you receive your COVID-19
vaccination(s) in?
England (United Kingdom of Great Britain and
Northern Ireland)
People you are travelling with
Are you travelling to the UK with anyone under 18
years old that you are including on this form?
No
Declaration
I declare that:
I understand I have to provide proof of negative coronavirus (COVID-19) test result if I am travelling from a
red list country or island, or do not qualify as fully vaccinated, unless I am exempt
I understand that I must bring proof of my COVID-19 vaccination status if I meet the eligibility criteria. My
proof of vaccination status (if declared) contains my full name, date of birth, vaccine brand and
manufacturer, the dates for all my vaccination doses and the country of vaccination and/or certificate
issuer
The information I have entered in this form is correct
I understand it could be a criminal offence to provide false details and I may be prosecuted
I confirm that I understand and agree with the above declarations.
James James Taylor
Page 4 of 4