Passenger Detail Form - For 2 & 8 Day Tests

PCR COVID TEST - Passenger Details Form

This form is required by us if you are purchasing an International Test to Release (ITR).
Note: Without these details your test will NOT be processed.

Name*

Date of Birth*

Nationality*

Gender*

Male

Female

Ethnicity*

Phone*

Address

Arrival Date and Time*

Date on which you last departed from or transited through a non exempt country

Country or territory you were travelling from when you arrived into UK*

Flight number or vessel name*

International passport number/ID card number*