Covid 19 Testing Registration

Personal details

Your Name (required)

Date of Birth (required)

Your Email (required)

Address (required)

Daytime Contact Telephone Number (required)

Gender
MaleFemaleOther

Journey details

Passport Number or ID number (required)

Which country or territory are you travelling from when you arrive in the UK? (required)

What date do you arrive in the UK? (required)

What date do you depart from or transit through a non-exempt country or territory, or a non-exempt region of a country or territory (a destination not on the travel corridors list) (NB this is usually the same as your arrival date in the UK but sometimes different if a long distance or overnight flight) (required)

Please enter transportation details (coach number, flight number or vessel name) (required)

Which country or territory (if any) did you transit through as part of your journey (required)

Have you already received a Covid 19 Vaccine? (required)
—Please choose an option—Pfizer single vaccinePfizer double vaccineModerna single vaccineModerna double vaccineAstraZeneca single vaccineAstraZeneca double vaccineNone

If you are quarantining at an address other than the one given above, please give that address here

How would you describe your ethnicity? (required)
BangladeshiBlack-AfricanBlack-CaribbeanBlack-OtherChineseIndianISC-UnspecifiedOther/MixedPakistaniUnknownWhiteWhite and AsianWhite and Black AfricanWhite BritishWhite IrishWhite OtherAny other ethnic categoryAny other mixed group

What is your ID nationality? (required)

Please state which testing you require (required)
Amber arrival Day 2 & 8 onlyAmber arrival Day 2 & 8 and Test to ReleaseAmber arrival Test to Release onlyGreen arrival Day 2 onlyAmber arrival Day 2 only

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