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Date of Travel*
You must apply a a minimum 3 days prior to travel. If you are travelling sooner, please contact us.
DD slash MM slash YYYY
Time of Departure*
Time of Departure when travelling to Portugal

Hours :

Minutes
Would you like to opt in to the Test to Release programme?*
If yes, you will receive an additional PCR test to be taken on day 5 of your 10 day quarantine. Should the result come back negative then you will be eligible to break your quarantine early.
(+£60)
- Yes
- No
Booking Details
Booking Reference Number
SAP Number
Personal Details
Given Name(s)*
Surname*
Passport Number*
Issuing authority/place of issue*
Passport Issue Date*
DD slash MM slash YYYY
Passport Expiry Date*
DD slash MM slash YYYY
Date of Birth*
DD slash MM slash YYYY
Sex*
- Male
- Female
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*

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Accommodation
Address in Portugal*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number of contact or hotel*
Email number of contact or hotel*

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Return Travel Information
Date of Return*
Date of Return to the UK
DD slash MM slash YYYY
Time of Return*
Time of Return to the UK

Hours :

Minutes
When you enter the UK, will you:*
- Stay in the UK
- Change flights in the UK within 24 hours without going through UK border control
Where will you arrive in the UK?*
For example, Manchester Airport
What country will you be travelling from?*
Which operator will you be travelling with?*
What is your booking reference for your travel?*
What is your flight number, train service or ship name that you will arrive on?*
What country is your connecting flight to?*
Which operator will you be travelling with?*
Are you travelling as part of an organised group?*
- Yes
- No
Are you travelling with anyone under 18 years of age that you wish to include on this form?
- Yes
- No
Under 18 Information
Full Name Date of Birth Your relation to U18
Please enter all countries you have or will have been in for the 14 days prior to your arrival into the UK and the dates you were present in each country*

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Exemption
Are you a key worker, and therefore exempt from self-isolation?*
- Yes
- No
Job Title*
Have you been present in any of the red listed countries in the past 10 days and therefore require to isolate in a government specified hotel?*
- Yes
- No
Hotel quarantine booking reference number*
Hotel quarantine address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Stay Whilst in UK
UK accommodation type*
- Individual's home
- Other individual's home (friend/family)
- Hotel
Individuals Full Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date you will arrive at this accommodation*
DD slash MM slash YYYY
Date you intend to leave this accommodation*
DD slash MM slash YYYY

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Testing
If you are not required to quarantine in a government approved facility, you may be required to complete COVID tests after you arrive and during your period of isolation. You are only exempt to this if you are a key working or only travelled within the Common Travel Area.
What is your booking reference number for your COVID tests?*
Have you opted-in to Test to Release?*
- Yes
- No
Which provider have you booked a test with?*
What is your test booking reference number?*

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Service	Fit to Fly - Test Fee	Return Testing Fee	Test to Release Test Fee	Service Fee	VAT	Total
Green Destination Package	£43.00	£43.00 (Day 2)	N/A	£29.13	£5.82	£120.95
Amber Destination Package	£43.00	£86.00 (Day 2 & 8)	N/A	£29.13	£5.82	£163.95
Amber Destination Package + Test to Release	£43.00	£86.00 (Day 2 & 8)	£43.00	£29.13	£5.82	£206.95

This package includes the following:
- Fit to Fly Test
- Return testing relevant to the category your destination is in
- Completion of your Maltese Passenger Locator Form and Health Declaration
- Completion of your UK inbound PLF, completed within 24 hours of your return to the UK
Portugal PLF*
- Green Destination Package
- Amber Destination Package
- Amber Destination Package + Test to Release
Discount Code
Total
£ 0.00
Please confirm the address you would like your tests posting to*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*
Card Details
Cardholder Name
Billing Address*
Same as residential address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Important
Please tick to confirm you you have read, fully understood and agree to the following:*
- I, the applicant, hereby certify that I have read, or have had read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information furnished in this application are true and correct to the best of my knowledge and belief.
Terms and Conditions*
http://thetravelvisacompany.co.uk/terms/tvcterms.pdf
http://thetravelvisacompany.co.uk/declaration
- I have read, fully understood and agree to the Terms & Conditions and Client Declaration

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Admin

Full Name	Date of Birth	Your relation to U18