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TSL COVID-19 Test to Release Request
Please fill the form, all information marked * is mandatory
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* Indicates required question
Email
*
Your email
Title
*
Your answer
First name
*
Your answer
Surname
*
Your answer
Gender (as per passport)
*
Male
Female
Required
DOB (DD/MM/YYYY)
*
MM
/
DD
/
YYYY
Ethnicity
*
Your answer
Full address (Where you will be Isolating)
*
Your answer
Post code
*
Your answer
Contact no.
*
Your answer
NHS number (if known)
Your answer
Passport no. / ID card number
*
Your answer
Date of Travel (DD/MM/YYYY)
*
MM
/
DD
/
YYYY
Date of arrival in UK (DD/MM/YYYY)
*
MM
/
DD
/
YYYY
The country/s or territory you were travelling from when you arrived in England, and any country or territory you transited through as part of that journey?
*
Your answer
coach number, flight number or vessel name
*
Your answer
Date test required
*
MM
/
DD
/
YYYY
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