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Admin
Status
Personal Details
Surname*
Given Name(s)*
Sex*
- Male
- Female
- Prefer not to say
Date of Birth*

DD
MM
YYYY
Nationality*
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Travel Plans
Date of Departure*

DD
MM
YYYY
Time of Departure*

: HH

MM
Date of arrival into the UK*

DD
MM
YYYY
What time will you arrive in the UK?*

: HH

MM
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

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Arrival into the UK
Where will you arrive in the UK?*
For example, Manchester Airport
What country are you 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
U18's name*
First Last
U18's Date of Birth*

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

DD
MM
YYYY
Date you intend to leave this accommodation*

DD
MM
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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Contact Information
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number*
Email Address*

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Price Breakdown.

Service Fee	VAT	Total
£10.79	£2.16	£12.95

Passenger Locator Form*
Price: £ 12.95 Quantity:
Total
£ 0.00
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
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*
- I have read, fully understood and agree to the Terms & Conditions and Client Declaration
http://thetravelvisacompany.co.uk/terms/tvcterms.pdf
http://thetravelvisacompany.co.uk/declaration

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Admin