Passenger Locator Form: Personal Information

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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

STANOJEVIKJ / - / ALEKSANDAR Male / 36

Mobile Phone Number Business Phone Number Home Phone Number


Unique Code
+38977977350 - -
4357591194
Other Phone Number Email Passport
Date Submitted
- stanojevicsase@gmail.com B0929749
2021-06-11
Professional Driver

1. .Transportation
. . . . . . . . . . . . . . . . . . . . . . .Information
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Ground transport Plate Number Carrier

Car TE 1082 AE -

Seat Number Date of arrival Point of Entry in the Country

- 2021-06-17 Evzoni (North Macedonia)

1. .Permanent
. . . . . . . . . . . . . . . . .Address
..........................................................
Country State / Province City

North Macedonia Tetovo Tetovo

Street (Name, Number, ZIP) Apartment Number / Previously Visited Country


Cabin Number

180 33 1200 -

1. .Temporary
. . . . . . . . . . . . . . . . .Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Country State / Province City

Greece - Kalithea

Street (Name, Number, ZIP) Hotel Name (If Any) / Apartment Number / Cabin
Cruise Ship Name Number
1 Toronaiou Kallithea 63077 63077 Maya Bay 101
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

MISAJLOVSKI MISO North Macedonia /


SKOPJE
Mobile Phone Number Other Phone Number Email
+38970767087 - stanojevicsase@gmail.co
m

1. . .Travel
. . . . . . . . . .Companions
. . . . . . . . . . . . . . . . . . . –. . .Family
...........................................................
Number Last (Family) Name / First Name Age Seat Number

1 STANOJEVIKJ / NATASHA 34 -
2 STANOJEVIKJ / MILOSH 4 -

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

ALEKSANDAR STANOJEVIKJ -/ - -

Type Manufacturer Country Certificate ID


Other Digital / Non Pfizer BioNtech Serbia -
Digital

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