Booking form
Pre-departure rapid antigen test

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First name Last name Sex Date of birth NHS number Ethnicity Home address City Post code Country Address where able to receive confirmatory test Email Telephone number Coach number/flight number or vessel name Date on which last departed from or transited through a country or territory outside the common travel area Country or territory travelling from when arrived in UK, plus any country or territory transited through Vaccination status against SARS-CoV-2 Single or double vaccine Booster vaccine Date arrived in UK

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Booking form Pre-departure rapid antigen test

Booking form
Pre-departure rapid antigen test