UK Visas & Immigration: Personal Information

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UK Visas & Immigration

NAME: Norma Morgan


PASSPORT NUMBER: 546585929
DATE OF SUBMISSION: 15 January 2021 00:01 Greenwich Mean Time
(GMT)
FORM: Public Health Passenger Locator Form
REFERENCE: UKVI_5ZAA002129236
REGISTRATION EMAIL: [email protected]

Personal information

Email address [email protected]

Travel information

Do you know where you will stay for your first 10 Yes
days in the UK?

You provided the following address as your Yes


residential address. Do you plan on staying at this
address?
43 birch tree court
ROWLANDSWAY
WYTHENSHAWE
M225RY

What address will you stay at for your first 10 days 43 birch tree court
in the UK? ROWLANDSWAY
WYTHENSHAWE
M225RY

When will you arrive there? 16 January 2021

Are you exempt from self-isolating for the first 10 No

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UK Visas & Immigration
days you are in the UK?

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


organised group?

What are your travel plans? Stay in the UK

Where will you arrive in the UK? heathrow

What country are you travelling from? Canada

Which operator will you be travelling with? air canada

What is the flight number, train service or ship AC1254


name that you will arrive on?

What is your seat number? (you must provide your 13a


seat number if relevant. Include coach number if
travelling by train, for example coach 5 seat 2)

Which countries have you been in, or will you be in, Jamaica
for the 10 days before coming to the UK?

Enter any islands you have, or will, visit within this none
country.

Departure date 5 January 2021

Have you opted-in to Test to Release? No

Your planned travel information

When do you plan to arrive in the UK? 15 January 2021 08:30 AM

Personal information

Are you completing this form for someone else? No

Given name(s) Norma

Family name Morgan

What is your sex? Female

Residential address 43 birch tree court


ROWLANDSWAY
WYTHENSHAWE
Manchester

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UK Visas & Immigration
M225RY
United Kingdom of Great Britain and Northern
Ireland

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

Date of birth 1 September 1954

Provide your primary telephone number +01 7958620766

Passport details

Passport number or travel document reference 546585929


number

Issuing authority United Kingdom

Issue date 23 March 2017

Expiry date 23 March 2027

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 Denise Charles

Their telephone number 07954332725

Their email address [email protected]

Declaration
I declare that:

I will arrive in the UK within the next 48 hours


I have provided my seat number, if relevant
The information I have entered in this form is correct

If any of your information changes once you have submitted your details, such as travel details, seat number, or
contact information, you must complete a new form.

I confirm that I understand and agree with the above declarations.

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