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Hidden
Admin
Hidden
Data Set
Hidden
Status
Booking Details
Booking Reference Number
SAP Number
Personal Details
Surname*
Given Name(s)*
Sex*
- Male
- Female
- Prefer not to say
Date of Birth*
DD slash MM slash YYYY
Nationality*
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Passport Details
Passport or Travel Document Number*
Issuing authority/place of issue*
Date of Issue*
DD slash MM slash YYYY
Date of Expiry*
DD slash MM slash YYYY

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Travel Plans
Date of Departure*
DD slash MM slash YYYY
Time of Departure*

Hours :

Minutes
Date of arrival into the UK*
DD slash MM slash YYYY
What time will you arrive in 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

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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 slash MM slash 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 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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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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Payment

Price Breakdown.

Service Fee	VAT	Total
£10.79	£2.16	£12.95

Passenger Locator Form*
Price: £ 12.95
Discount Code
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
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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UK PLF

Step 1 of 9

Admin

Booking Details

Personal Details

Passport Details

Travel Plans

Arrival into the UK

Exemption

Stay whilst in the UK

Testing

Contact Information

Payment

Important

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