Application for Israel Passenger Locator Form

Nationality *

Country of residence *

You are traveling by *

Arrival in Israel

The land point-of-entry *

The country I travel from *

Arrival in Israel

The land point-of-entry *

Cruise company *

Cruise Number *

Country of cruise origin *

Aircraft Flight Information

Please fill in the details of your flight

The land point-of-entry *

Airline Name *

Flight Number *

The country from which you depart to Israel *

NOTE : Your Travel date must be greater than equal to today

Date/Time of Arrival*

Day *

Month *

Year *

Arrival Time *

I transit to Israel (connecting flight)

Check the transit flight box if you stayed more than 12 hours in the airport transit area

Country of a transit Flight *

Date of departure *

I had or will visit another country in the 7 days prior to my flight to Israel or my entry into Israel at a maritime or land border crossing

Name of country *

Date of departure *

Personal Information

Last (family) name *

First (given) name *

Citizenship *

Passport Number *

Date of Birth *

Gender *

Male Female

Phone number(s) where you can be reached if needed.

Mobile phone number *

Enter a plus sign (+) followed by your country code and your phone number, e.g. +306989123456.

Home Phone Number

Enter a plus sign (+) followed by your country code and your phone number, e.g. +306989123456.

Email Address *

Enter your username/mailbox name followed by the @ symbol and the domain name, e.g. jsmith@example.com.

First name of contact in case of emergency*

Last name of contact in case of emergency*

Phone number of your contact*

Details of vaccination or recovery

Here you can enter the vaccine or recovery details. Those who do not want to provide the information or who are not vaccinated or recovered - can choose "Other".

Vaccinated or recovered only in Israel.
Vaccinated or recovered abroad, or abroad and in Israel
Other

Passenger-locator-form.com

Application for Israel Passenger Locator Form