Summary

List of Form C Based on Arrival Date

during 01/02/2019 to 18/03/2019
as on 18/03/2019 16:48:31 by Beachinn754A
Fortkochi Beach Inn,1/754A, Napier street, Near Parade Ground, Fort kochi, Kerala , India,COCHIN,KERALA
S.NO. Application id Passport No. Name Nationality Arrival Entered On
1 010219X9WUY4 HK727792 ALICE BLIZABETH GILLHAM CANADA 01/02/2019 19:00 01/02/2019 20:10:29
2 0102194MX372 111444946 KATHRYN JULIA MCCOY UNITED KINGDOM 01/02/2019 10:25 01/02/2019 12:47:26
3 010219F041UZ GK293416 JAFFREY TODD GILLHAM CANADA 01/02/2019 19:00 01/02/2019 20:14:17
4 010219J3SJCD 503579545 DEBORAH JANE PARKINSON UNITED KINGDOM 01/02/2019 10:25 01/02/2019 12:53:03
5 01021981263E GK293416 GILLES HENRT JACQUES FRANCE 01/02/2019 17:00 01/02/2019 20:26:59
FISCHER
6 010219EB6MHY 10CV68876 LAURENCE MERIE THERESE FRANCE 01/02/2019 17:00 01/02/2019 20:33:16
GEORGELIN
7 010219ZI2BT5 C79H2JFPW SOPHIA CLARA MADLER GERMANY 01/02/2019 19:58 01/02/2019 20:45:56
8 010219J186AS C737C0KL1 NIKLAS ARNDI SCHMACKE GERMANY 01/02/2019 19:58 01/02/2019 20:54:43
9 010219743H17 C737C0KL1 DNSK DANISH DANOISE DENMARK 01/02/2019 18:00 01/02/2019 21:38:40
MOESKJER
10 0102198BJZCQ 209501035 BENT LILTMANN MOESKJER DENMARK 01/02/2019 18:00 01/02/2019 21:42:24
11 020219M51N8V PAE815951 RAFAEL EGUIGUREN SPAIN 01/02/2019 21:00 02/02/2019 19:32:26
12 020219YOGHS1 801666216 SYDNEY RAELINS KINLOCH UNITED KINGDOM 02/02/2019 19:00 02/02/2019 19:50:00
13 020219L23341 511082563 COLIN JOHN ROSS UNITED KINGDOM 02/02/2019 19:00 02/02/2019 19:54:34
14 020219A6CF6S PD0134725 TIMOTHY DANIEL HALL AUSTRALIA 02/02/2019 11:00 02/02/2019 20:06:12
15 020219I1L53B 18AA61973 MARTINE EMMA JEANNE FRANCE 02/02/2019 14:00 02/02/2019 20:21:59
CHUSSEAU
16 020219H226D1 18AF79604 FREDERIC ANDRE GEORGES FRANCE 02/02/2019 14:00 02/02/2019 20:27:09
RATEAU
17 0302195DUXUX X1032111 DANIEL REICHLIN SWITZERLAND 03/02/2019 19:00 03/02/2019 19:11:51
18 030219534JO8 X3140086 MARGRIT REICHLIN SWITZERLAND 03/02/2019 19:00 03/02/2019 19:15:00
19 03021905EIJ7 CA387028 MARIA CRISTINA FERREIRA PORTUGAL 03/02/2019 19:00 03/02/2019 19:43:29
DE ALMEIDA
20 03021937QFK1 507062593 NIGEL PAUL SMITH UNITED KINGDOM 03/02/2019 19:00 03/02/2019 19:54:44
21 0302198YAKLX A8AL73909 PIERRE STEPHANE RAYMOND FRANCE 03/02/2019 14:00 03/02/2019 20:06:10
BOURRE
22 030219J7A0R8 A4DK36205 SANDRINE MICHELE SAGOT FRANCE 03/02/2019 14:00 03/02/2019 20:10:54
23 03021938V4JH A4DK36205 LORRAINE PACHECO UNITED KINGDOM 03/02/2019 14:27 03/02/2019 21:16:45
24 0402190L1V2W 31318108 REGINE KIWA MOWILL NORWAY 03/02/2019 22:00 04/02/2019 08:19:23
25 1202193BXL9X G39600298 YING YUE CHINA 04/02/2019 12:00 12/02/2019 16:08:46
26 040219ZDRZMU N3060245 JOSHUA IAN BATCHELOR AUSTRALIA 04/02/2019 12:00 04/02/2019 20:34:03
27 040219GJWKKZ X1162162 OLIVER GIRSTMAIR SWITZERLAND 04/02/2019 15:00 04/02/2019 20:58:14
28 040219EH7J05 U2861290 MAGDALENA REGER AUSTRIA 04/02/2019 15:00 04/02/2019 21:16:50
29 050219598V85 538512223 MARC DAVIDSON UNITED KINGDOM 04/02/2019 23:30 05/02/2019 19:31:55
30 0502190BP07U 720047651 DANIEL MARC PHELPS UNITED KINGDOM 04/02/2019 23:30 05/02/2019 19:42:45
31 040219U2N7NW N9649295 KAREN ELISE CHIBERT AUSTRALIA 04/02/2019 12:00 04/02/2019 20:27:51
32 05021977EO7P 309435318 HELGA MADELAINE VANESSA UNITED KINGDOM 05/02/2019 20:00 05/02/2019 20:21:13
DI PASQUALE
33 060219MZDIRR 111707373 PHILIP RHOADS UNITED KINGDOM 06/02/2019 13:00 06/02/2019 19:44:25
34 060219IBIA5L 557328417 HELEN LOUISE RHOADS UNITED KINGDOM 06/02/2019 13:00 06/02/2019 19:39:25
35 06021994C3M0 EM141766 NATHALYE NICOLE CLARYS BELGIUM 06/02/2019 12:00 06/02/2019 20:02:00
36 060219K3X6P8 539363466 TRUDI BARBER UNITED KINGDOM 06/02/2019 12:00 06/02/2019 20:16:13
37 070219HD8Y2B FU289403 SOFIA BRASILEIRO BRAZIL 07/02/2019 11:00 07/02/2019 19:11:21
38 080219472C38 508795106 NICOLA HOUNSHAM UNITED KINGDOM 07/02/2019 12:00 08/02/2019 07:35:41
39 080219VH3F0H 89236474 ASTRID HELEN HEDENSJO SWEDEN 07/02/2019 23:30 08/02/2019 15:10:07
40 080219H3B4B6 543457250 ANNA LOUISE ALLEN UNITED KINGDOM 07/02/2019 12:00 08/02/2019 07:32:35
41 0802190E70NS 534198087 PAMELA JUNE LISTER UNITED KINGDOM 08/02/2019 12:00 08/02/2019 15:35:23
42 080219GWA5Z6 525002684 DAVID LISTER UNITED KINGDOM 08/02/2019 12:00 08/02/2019 15:44:55
43 080219H58M9X 14124361 YEHUDIT MORIM ISRAEL 08/02/2019 01:30 08/02/2019 15:58:21
44 080219O2GP56 33095623 TOSHI AYALON ISRAEL 08/02/2019 01:30 08/02/2019 16:02:50
45 080219Y3TP26 32846363 GONI BAR NISSIM LANDAU ISRAEL 08/02/2019 14:00 08/02/2019 16:18:01
46 0802194GX41Y 32376554 AVI BAR NISSIM ISRAEL 08/02/2019 14:00 08/02/2019 16:22:09
47 0802197UN6HD G57462556 GENGZHEN LI CHINA 08/02/2019 02:00 08/02/2019 15:21:17
48 090219SG4L42 464988999 MARY WREN UNITED KINGDOM 09/02/2019 12:00 16/02/2019 17:55:39
49 110219K1O7X8 C1T56FM3F SUSANNE KLOSE GERMANY 09/02/2019 20:00 11/02/2019 17:40:28
50 11021987W7P3 C1T5043V2 ERNST JOHANNES PETER DR GERMANY 09/02/2019 20:00 11/02/2019 17:43:43
HELMS

Page 1 of 5
 Summary
List of Form C Based on Arrival Date
during 01/02/2019 to 18/03/2019
as on 18/03/2019 16:48:31 by Beachinn754A
Fortkochi Beach Inn,1/754A, Napier street, Near Parade Ground, Fort kochi, Kerala , India,COCHIN,KERALA
S.NO. Application id Passport No. Name Nationality Arrival Entered On
51 110219BM8QS2 EN043905 MICHEL MIA J CUVELIE BELGIUM 10/02/2019 18:00 11/02/2019 07:46:48
52 110219A422GO 488094853 AMANDA DAVIDA CORNFELD UNITED STATES OF AMERICA 10/02/2019 11:00 11/02/2019 10:52:26
53 1102195V61BW G47355551 XINRAN WANG CHINA 10/02/2019 11:00 11/02/2019 14:52:18
54 11021935KB8P G46879425 SHU JIANG CHINA 10/02/2019 20:00 11/02/2019 15:18:49
55 1102195KU72Y EE5897155 QI YE CHINA 10/02/2019 20:00 11/02/2019 15:26:27
56 1102190JA1NR PU7766704 SANDRA FRANCIS MC KIM IRELAND 10/02/2019 02:00 11/02/2019 16:29:53
57 110219M1U6JS PF1468966 SCOTT MICHAEL LYONS IRELAND 10/02/2019 02:00 11/02/2019 16:36:14
58 110219Y37AMP EN461873 ERIC MARIA G CUVELIE BELGIUM 10/02/2019 18:00 11/02/2019 07:31:10
59 1102196008PS EN379935 CARLO PHILOMENA CUVELIE BELGIUM 10/02/2019 18:00 11/02/2019 07:43:41
60 110219644OKT EP274468 MATTHIAS FRIDA E CUVELIE BELGIUM 10/02/2019 18:00 11/02/2019 07:39:10
61 110219W5R7K5 EP477260 OLIVER GHISLAIN CUVELIE BELGIUM 10/02/2019 18:00 11/02/2019 07:35:11
62 1102195P7U0X YA2963032 PAOLO AUGUSTO NOTARI ITALY 11/02/2019 16:00 11/02/2019 16:46:45
63 110219IKHG00 NMKH6DC85 JENNEKEN MARIA JOHANNA NETHERLANDS 11/02/2019 10:30 11/02/2019 16:55:32
WILHELMINA VOSSELMAN
BOSCH
64 1102192XESX1 NRRB84965 JOHANNES ANTONIUS NETHERLANDS 11/02/2019 10:30 11/02/2019 17:00:12
WIEFERINK
65 12021970V2G0 G59089723 LIN CHEN CHINA 12/02/2019 22:00 12/02/2019 07:52:22
66 1302199439R5 NP32F31C4 SANDI WIEFERINK NETHERLANDS 12/02/2019 22:00 13/02/2019 07:45:47
67 160219MO1SOG 14CL91490 EMILIE LUONG FRANCE 13/02/2019 12:00 16/02/2019 07:55:39
68 160219OW86H4 M35417445 HEA JA KIM KOREA, REPUBLIC OF 13/02/2019 12:00 16/02/2019 07:40:00
69 1602197AYVR6 M35663623 YOONDHO RA KOREA, REPUBLIC OF 13/02/2019 12:00 16/02/2019 07:43:51
70 160219V8GC89 EA8050923 RAFAL MARCIN BIERZANEK POLAND 13/02/2019 12:00 16/02/2019 07:33:14
71 160219OBM6EN 17FD12490 BASILE EPHREM MARIE FRANCE 13/02/2019 12:00 16/02/2019 07:59:09
EMMANUEL IAMURE
72 160219KA57EK CCZ7CX8Y4 RONNY HANICH GERMANY 13/02/2019 12:00 16/02/2019 08:07:25
73 160219VAPEVJ C32MFL029 GUNTHER LOTHAR HELMUT GERMANY 13/02/2019 12:00 16/02/2019 08:10:24
BERTRAM ERICH DR SPAHN
74 160219LS4VUQ EA0616731 JOANNA TERESA BIERZANEK POLAND 13/02/2019 12:00 16/02/2019 07:29:36
75 1602198U602K 516158160 SUZAN MARIE DELIVUK UNITED KINGDOM 15/02/2019 16:00 16/02/2019 10:11:55
76 160219DEDIO8 515008415 FAHIM ARIJ KEMAL UNITED KINGDOM 15/02/2019 16:00 16/02/2019 10:22:15
77 160219BM7OPR 531901554 ALEXANDER BENJAMIN UNITED KINGDOM 15/02/2019 13:00 16/02/2019 10:38:36
GLASSMAN
78 160219NHCSYS 533319037 JESSICA KATE SARTENAER UNITED KINGDOM 15/02/2019 13:00 16/02/2019 11:08:30
79 16021963580Q C3JT68WFV THOMAS MICHAEL HANSKA GERMANY 15/02/2019 16:00 16/02/2019 11:20:24
80 1602195PSS40 17DI90563 HUBERT EDOUARD HENRI FRANCE 15/02/2019 14:00 16/02/2019 09:45:14
GIRAUD
81 160219NL8BER 475570676 TIMOTHY JAMES HIGGINS UNITED STATES OF AMERICA 15/02/2019 20:00 16/02/2019 08:56:07
82 160219415HW9 576490329 JANET VONEE RENEAU UNITED STATES OF AMERICA 15/02/2019 20:00 16/02/2019 09:03:13
83 160219W8Y17Z 530865208 ELIZABETH BRONWEN UNITED STATES OF AMERICA 15/02/2019 14:00 16/02/2019 09:10:20
BLEDSOE
84 160219674DUV 483585427 NANCY SUE JACOBS BOR UNITED STATES OF AMERICA 15/02/2019 12:00 16/02/2019 09:17:03
85 160219OO1U7F 15AI88444 LILI MARIE RUGGIERI FRANCE 15/02/2019 12:00 16/02/2019 09:33:45
86 1602196X92SW 16CR54145 JOHANE HUGUETTE FRANCE 15/02/2019 12:00 16/02/2019 09:37:26
ALLOUCH
87 160219200A45 528824859 GILES NICHOLAS UNITED KINGDOM 15/02/2019 14:00 16/02/2019 09:55:49
HAZELGROVE
88 16021917B4X8 TR4420112 JUMPEI KIYAMA JAPAN 16/02/2019 12:00 16/02/2019 16:28:25
89 160219250LR3 TK8166157 NATSUKI MATSUMOTO JAPAN 16/02/2019 12:00 16/02/2019 16:31:24
90 160219I590P8 530697772 MARGARET RUTH LISK UNITED KINGDOM 16/02/2019 11:00 16/02/2019 11:26:22
91 170219OWN6Z0 548182740 ONYX JEAN BREWIN UNITED KINGDOM 16/02/2019 21:00 17/02/2019 10:06:26
92 1702190ZGLQT 552763128 SIMON CHARLES BREWIN UNITED KINGDOM 16/02/2019 21:00 17/02/2019 11:36:02
93 1702191292NE CG6P10WCY ROMINA BARBARA ZENTA GERMANY 17/02/2019 11:00 17/02/2019 17:38:24
ANNA RATHGEBER
94 17021913AL20 13AC14586 AGNES BERTHE SUZANNE FRANCE 17/02/2019 02:00 17/02/2019 17:22:09
DANIEL
95 170219V7MO5M 15DC69005 CHRISTIAN MICHEL HARNIE FRANCE 17/02/2019 02:00 17/02/2019 17:25:30
COUSSAU
96 170219NDQHYI CFYH701VY KATHARINA URSULA WERNER GERMANY 17/02/2019 11:00 17/02/2019 17:33:42
JOCHMANN
97 1702199F5M3Y CG8C11GFM BEATE SYBILLE DRUCKLER GERMANY 17/02/2019 11:00 17/02/2019 17:56:49
98 1702192774T0 CFVHHPC1C DORIS ELISABETH ZWICK GERMANY 17/02/2019 11:00 17/02/2019 18:00:59
IPFELKOFER
99 180219627793 801712703 RHONA ELIZABETH LIVESEY UNITED KINGDOM 18/02/2019 20:00 18/02/2019 07:13:04
100 1802191KU2WD 537927156 SIMON LAURENCE LIVESEY UNITED KINGDOM 18/02/2019 20:00 18/02/2019 07:16:28
101 180219HGUEVP GC164999 SYLVIE LEMIEUX CANADA 18/02/2019 11:00 18/02/2019 17:32:28

Page 2 of 5
 Summary
List of Form C Based on Arrival Date
during 01/02/2019 to 18/03/2019
as on 18/03/2019 16:48:31 by Beachinn754A
Fortkochi Beach Inn,1/754A, Napier street, Near Parade Ground, Fort kochi, Kerala , India,COCHIN,KERALA
S.NO. Application id Passport No. Name Nationality Arrival Entered On
102 1802194OBE1X AC247411 GINETTE GRAVEL CANADA 18/02/2019 11:00 18/02/2019 17:43:55
103 1802195572AU 516590896 CARMEN ELIZABETH UNITED KINGDOM 18/02/2019 12:00 18/02/2019 17:56:30
MARGARET SOBANDE
104 180219Z43D12 30511366 HADASA SHARON COHEN ISRAEL 18/02/2019 15:00 18/02/2019 18:10:09
LEONOV
105 180219KQY658 30513166 NISSIM SHAI SHAY COHEN ISRAEL 18/02/2019 15:00 18/02/2019 18:15:03
106 1902196M8Q90 18FD51787 OKTAWLA MARIA TAPSANJI FRANCE 19/02/2019 12:00 19/02/2019 22:26:00
KILLIAN
107 1902193R7J2E 17CC63097 TIMOTHY GABRIEL KILLIAN FRANCE 19/02/2019 12:00 19/02/2019 22:27:50
108 19021970L085 AB3130698 VIKTAR PALIUKHOVICH FRANCE 19/02/2019 12:00 19/02/2019 22:32:16
109 190219FNUWHQ 502511988 DEBORAH ANN BARBER UNITED KINGDOM 19/02/2019 12:00 19/02/2019 22:39:18
110 190219AAHN2F 557309455 JAMES JOSEPH CARROLL UNITED KINGDOM 19/02/2019 12:00 19/02/2019 22:45:39
111 1902198E6EED 32005801 DANA WEINBERG UNITED KINGDOM 19/02/2019 12:00 19/02/2019 22:51:41
112 200219DN441S CH1H1HWYT REINER JOSEF GERMANY 20/02/2019 11:00 20/02/2019 16:45:33
SCHEDLBAUER
113 20021956R3MA CH1HLL5N1 BEATE SIEGRID HELGA GERMANY 20/02/2019 11:00 20/02/2019 16:49:09
JANKOWSKI
114 200219PJX3ZE C6Z10GKP8 BASTIAN ARENS GERMANY 20/02/2019 18:30 20/02/2019 18:41:56
115 210219JSCSP1 CCJ0Y1KLZ TOBIAS TOPF GERMANY 21/02/2019 16:00 21/02/2019 18:06:28
116 2102198HLBOM C4YMGWJRN LISA MARIE TOPF GERMANY 21/02/2019 16:00 21/02/2019 18:09:42
117 22021982LOHK 500869194 GEOFFREY LEON NICHOLLS UNITED KINGDOM 21/02/2019 13:00 22/02/2019 07:25:23
118 2202199V8T1K 508290105 PATRICIA NICHOLAS UNITED KINGDOM 21/02/2019 13:00 22/02/2019 07:27:41
119 220219577449 E11671579 BO SHEN CHINA 21/02/2019 22:00 22/02/2019 07:46:01
120 220219SO3N05 G44584532 XINMENG XU CHINA 21/02/2019 22:00 22/02/2019 07:39:34
121 2202195RTL6I E59155884 MING ZHANG CHINA 21/02/2019 22:00 22/02/2019 07:41:54
122 2202190TNZ25 E08675707 YING TANG CHINA 21/02/2019 22:00 22/02/2019 07:37:20
123 220219Z2CWD2 E40253085 YIHUA HUANG CHINA 21/02/2019 22:00 22/02/2019 07:43:58
124 2202190SP55P G85599635 SONGSONG LIU CHINA 21/02/2019 22:00 22/02/2019 07:49:29
125 220219XH6Y7K 518028010 DAVID HUTTON LIANG UNITED KINGDOM 22/02/2019 12:00 22/02/2019 22:28:13
126 220219BKAD0I 552529413 CHARLOTTE ELIZABETH UNITED KINGDOM 22/02/2019 01:00 22/02/2019 07:57:56
MORISETTI
127 2202194U6M60 537695871 NICOLA JANE TEVERSON UNITED KINGDOM 22/02/2019 12:00 22/02/2019 22:30:17
128 2202194J7Z24 X0373947 JEAN KAMPH SWITZERLAND 22/02/2019 12:00 22/02/2019 22:37:05
129 220219C525VK C1HH9FTOC GEB KONRAD DR WOYNAR GERMANY 22/02/2019 12:00 22/02/2019 22:42:51
130 2202199K25F1 C3FL7XPKW BELGIN VICTORIA ONDER GERMANY 22/02/2019 12:00 22/02/2019 22:52:33
131 220219Z2NT9D C3J392RHW SILKE LANGKITSCH GERMANY 22/02/2019 12:00 22/02/2019 22:58:31
132 220219AN74RD 516874582 NATALIE MICHELLE JERVIS UNITED KINGDOM 22/02/2019 12:00 22/02/2019 23:03:02
BYWATER
133 24021936B075 510706149 JENNIFER MARGARET OWEN UNITED KINGDOM 22/02/2019 22:00 24/02/2019 12:46:09
MORISETTI
134 2302193652OV EN1719724 MARCIN TOMASZ STRUMILO FRANCE 23/02/2019 14:00 23/02/2019 17:14:52
135 230219267IOC 505755170 JENIFER COZETTE BYWATER UNITED KINGDOM 23/02/2019 03:30 23/02/2019 17:04:26
136 230219888O5A 515942581 NICOLA JANE JERVIS UNITED KINGDOM 23/02/2019 03:30 23/02/2019 17:09:32
BYWATER
137 240219D2VWUD EN5719733 AGATA NATALIA JEDNACZ POLAND 23/02/2019 10:00 24/02/2019 13:27:45
138 240219ID96RY N082190 MUZAYYAN GHALEB AFGHANISTAN 23/02/2019 23:30 24/02/2019 13:40:11
MOHAMMAD HAMMOUDI
139 2402191LU758 O318512 NADIA GEORGES QUAISAR AFGHANISTAN 23/02/2019 23:30 24/02/2019 13:49:10
MANOLI
140 240219VW1LZH 92344256 EVA CHRISTINA JOHANSSON SWEDEN 24/02/2019 12:00 24/02/2019 14:13:22
141 240219Y63R8F 92344255 TOMAS STEFAN WEISSMANN SWEDEN 24/02/2019 12:00 24/02/2019 14:11:14
142 240219QO48F4 01145438 FARAHNAZ YOUSOFI JORDAN 24/02/2019 11:00 24/02/2019 14:22:33
143 240219TENC8F 01387839 ABDUL NASEER SABOOR JORDAN 24/02/2019 11:00 24/02/2019 14:26:43
144 24021983R0N7 30513166 NISSIM SHAI SHAY COHEN ISRAEL 24/02/2019 13:30 24/02/2019 14:35:29
145 2402196PLQ0Y 30511366 HADASA SHARON COHEN ISRAEL 24/02/2019 13:30 24/02/2019 14:32:03
LENOV
146 250219T7UGR7 G54197248 YUNYAO LUO CHINA 24/02/2019 22:00 25/02/2019 07:46:52
147 250219W08MZ6 210362606 PAULA CAMERON JENKINS UNITED KINGDOM 25/02/2019 12:00 25/02/2019 18:38:52
148 250219GNAC24 210362606 LAYNETTE MOONEY UNITED KINGDOM 25/02/2019 12:00 25/02/2019 18:42:53
149 26021935ZDU3 C3FL7XPKW BELGIN VICTORIA ONDER GERMANY 26/02/2019 13:00 26/02/2019 18:25:40
150 260219FH64I8 C3J392RHW SILKE LANGKITSCH GERMANY 26/02/2019 13:00 26/02/2019 18:36:06
151 270219D690IW D027912 SERGIO FERNANDO CID URAGUAY 26/02/2019 22:30 27/02/2019 09:38:56
PINTOS
152 270219648U43 D027911 MARIA CECILIA CLARA DA URAGUAY 26/02/2019 10:30 27/02/2019 09:52:30
FONSECA

Page 3 of 5
 Summary
List of Form C Based on Arrival Date
during 01/02/2019 to 18/03/2019
as on 18/03/2019 16:48:31 by Beachinn754A
Fortkochi Beach Inn,1/754A, Napier street, Near Parade Ground, Fort kochi, Kerala , India,COCHIN,KERALA
S.NO. Application id Passport No. Name Nationality Arrival Entered On
153 2702194LE3T7 D236760 LAURA MARIA ALVAREZ URAGUAY 26/02/2019 10:30 27/02/2019 09:59:21
ARTIGAS
154 270219622FF3 D179238 HILDA MARTA ISASA AMOZA URAGUAY 26/02/2019 10:30 27/02/2019 10:04:30
155 270219N31QUP C990647 LORELEY ALDAO DE PIZZOL URAGUAY 26/02/2019 10:30 27/02/2019 10:09:05
156 270219TLERX0 37081351N MARIA JOSE SAN ROMAN ARGENTINA 26/02/2019 22:30 27/02/2019 10:19:13
157 2702194RA4MP 34522071N GERMAN BUSCH ARGENTINA 26/02/2019 22:30 27/02/2019 10:22:42
158 2702198A97XF AAD682196 PATRICIA ALIDA FILIPPONI ARGENTINA 26/02/2019 22:30 27/02/2019 12:50:48
159 270219P2TWC6 AAA757224 CRISTINA GRACIELA TAMI ARGENTINA 26/02/2019 22:30 27/02/2019 12:55:33
160 270219R56NCY 24091868 IEVA KVASELYTE LITHUANIA 27/02/2019 11:30 27/02/2019 15:25:37
161 270219OM94X6 24582314 ERIKA SINKEVICIUTE LITHUANIA 27/02/2019 11:30 27/02/2019 15:50:44
162 270219Z41N24 23237543 ASTA STASAUSKAITE BRU LITHUANIA 27/02/2019 11:30 27/02/2019 15:56:02
163 27021916XG9O 24643345 DEIMANTE JUZENAITE LITHUANIA 27/02/2019 11:30 27/02/2019 16:02:19
164 270219X52EP0 28187333 ELISABETH HEIAN NORWAY 27/02/2019 11:30 27/02/2019 16:11:07
165 270219G51I88 31687083 MARIO CARIC NORWAY 27/02/2019 11:30 27/02/2019 16:08:26
166 270219OQF312 30793615 JAN KRISTIAN BJORNEVIK NORWAY 27/02/2019 11:30 27/02/2019 16:15:58
TONNESSEN
167 270219255H0X EC2995872 LEI FANG CHINA 27/02/2019 20:00 27/02/2019 20:39:21
168 280219P10PLD 573536522 KATHRYN ETHEL BAAS UNITED STATES OF AMERICA 28/02/2019 10:30 28/02/2019 11:53:41
169 2802196K1XMU 502025533 BRENT LEE BAAS UNITED STATES OF AMERICA 28/02/2019 10:30 28/02/2019 11:56:38
170 010319S5S0X7 16HA22142 CORINNE VICTORIA JULIETTE FRANCE 28/02/2019 22:00 01/03/2019 07:13:44
PERRIN
171 010319NVQ10C 14DE49799 JEAN CLAUDE PAUL ROGER FRANCE 28/02/2019 23:30 01/03/2019 16:18:07
BROCHARD
172 0103194SQ3L0 EC5283857 AGATA MARIA PLATEK POLAND 01/03/2019 15:00 01/03/2019 16:26:49
173 010319YTTES5 EM4169631 TOMASZ MAJEWSKI POLAND 01/03/2019 15:00 01/03/2019 16:30:03
174 020319CUHXI2 529121087 CAROLE ANN CROWE UNITED KINGDOM 02/03/2019 10:45 02/03/2019 10:47:35
175 02031972SJ03 558485171 PHILIP CROWE UNITED KINGDOM 02/03/2019 10:45 02/03/2019 10:51:27
176 020319NTYG35 D027912 SERGIO FERNANDO CID URAGUAY 02/03/2019 16:00 02/03/2019 19:43:53
PINTOS
177 020319LY7U65 D027911 MARIA CECILIA CLARA DA URAGUAY 02/03/2019 16:00 02/03/2019 19:46:00
FONSECA
178 020319D165K1 AAA757224 CRISTINA GRACIELA TAMI ARGENTINA 02/03/2019 16:00 02/03/2019 19:50:11
179 020319WJ3K8K 37081351N MARIA JOSE SAN ROMAN ARGENTINA 02/03/2019 16:00 02/03/2019 19:51:59
180 020319SZ4275 C990647 LORELEY ALDAO DE PIZZOL URAGUAY 02/03/2019 16:00 02/03/2019 19:55:30
181 020319C1MRZR 34522071N GERMAN BUSCH ARGENTINA 02/03/2019 16:00 02/03/2019 19:58:54
182 020319NY8800 AAD682196 PATRICIA ALIDA FILIPPONI ARGENTINA 02/03/2019 16:00 02/03/2019 20:10:10
183 020319IL10NL D236760 LAURA MARIA ALVAREZ URAGUAY 02/03/2019 16:00 02/03/2019 20:12:42
ARTIGAS
184 0203195YW3UT D179238 HILDA MARTA ISASA AMOZA URAGUAY 02/03/2019 16:00 02/03/2019 20:28:23
185 0203198SHRB4 516929527 JOSHUA MICHAEL LOUIS UNITED KINGDOM 02/03/2019 20:00 02/03/2019 20:34:27
MCGURK
186 0303192WED49 551034794 ALISON ROWLAND UNITED KINGDOM 03/03/2019 11:00 03/03/2019 13:18:44
187 0303197RFQG2 551178675 STEFAN ROBERT ROWLAND UNITED KINGDOM 03/03/2019 11:00 03/03/2019 13:15:08
188 030319G1ZK9T 509983218 CAROLE SUTTON UNITED KINGDOM 03/03/2019 11:00 03/03/2019 13:29:51
189 030319H7U675 15AI88444 LILI MARIE RUGGIERI FRANCE 03/03/2019 12:00 03/03/2019 14:58:30
190 0303192F9XDA 16CR54145 JOHANE HUGUETTE FRANCE 03/03/2019 12:00 03/03/2019 15:02:57
ALLOUCH
191 030319BIV0K8 32868914 URI ARONOFF ISRAEL 03/03/2019 12:00 03/03/2019 19:13:00
192 04031947ND6D 12AF19484 ALINE TARSILIA FRANCE 04/03/2019 16:00 04/03/2019 18:08:52
193 040319708OU7 18FV13437 LAURENT JEAN PHILIPPE FRANCE 04/03/2019 12:00 04/03/2019 18:02:21
NODET
194 040319QNAPZK 11CV96667 MYRIAM ISABELLE CHANTAL FRANCE 04/03/2019 12:00 04/03/2019 18:05:42
AZORI EP PLAZZA
195 040319Z6P4ZI 14CC11434 ANNE CATHERINE MARIE FRANCE 04/03/2019 17:00 04/03/2019 18:11:17
BRIJAS
196 050319CL76A9 504910139 BALLY BEGAM BRISTOW UNITED KINGDOM 04/03/2019 22:00 05/03/2019 07:46:54
197 060319601847 532151040 IRENE VERONICA QUICK UNITED KINGDOM 06/03/2019 10:00 06/03/2019 12:25:35
198 06031977IXZ7 549064974 ROBERT JAMES QUICK UNITED KINGDOM 06/03/2019 10:00 06/03/2019 12:20:18
199 060319PZJ90D 95796541 FRIDA KRISTINA SWEDEN 06/03/2019 16:00 06/03/2019 20:28:21
GUSTAFSSON
200 060319LKI1H8 91934119 KARIN HENRIETTA SWEDEN 06/03/2019 16:00 06/03/2019 20:30:51
GUSTAFSSON
201 06031908R61I 95796538 DIXIE HENRIETTA SWEDEN 06/03/2019 16:00 06/03/2019 20:33:53
GUSTAFSSON
202 060319S88T1V 94977828 HANS INGEMAR JOAKIR SWEDEN 06/03/2019 16:00 06/03/2019 20:36:14
GUSTAFSSON
203 0603190LE4GN X0984082 GUIDO LUKAS WINTERBERG SWITZERLAND 06/03/2019 16:00 06/03/2019 20:42:00

Page 4 of 5
 Summary
List of Form C Based on Arrival Date
during 01/02/2019 to 18/03/2019
as on 18/03/2019 16:48:31 by Beachinn754A
Fortkochi Beach Inn,1/754A, Napier street, Near Parade Ground, Fort kochi, Kerala , India,COCHIN,KERALA
S.NO. Application id Passport No. Name Nationality Arrival Entered On
204 060319Y5GWD5 X3931411 EVELINE FRANK SWITZERLAND 06/03/2019 16:00 06/03/2019 20:44:19
205 070319WULJR7 54876041 JACQUELINE ANN BUCKLAND UNITED KINGDOM 07/03/2019 11:00 07/03/2019 18:50:48
206 070319QO1Z5V 548565409 RAYMOND KENNETH UNITED KINGDOM 07/03/2019 11:00 07/03/2019 18:54:07
BUCKLAND
207 070319O0FEG7 NRDRKBF00 JOB MARINUS JOHANNES DE NETHERLANDS 07/03/2019 16:00 07/03/2019 19:24:24
MAN
208 070319K2V6LG NMR2DR4P7 CHANTAL DE MEERE NETHERLANDS 07/03/2019 16:00 07/03/2019 19:28:41
209 080319A8IVMN 490141627 MICAH BALSER GOLDWATER UNITED STATES OF AMERICA 07/03/2019 22:00 08/03/2019 07:32:57
210 0803195143AC 522769941 MARTYNPHILLIP CHARLES UNITED KINGDOM 08/03/2019 13:00 08/03/2019 18:28:33
DALMAN
211 080319RQS8IU 522808389 ROSEMARY ANN DALMAN UNITED KINGDOM 08/03/2019 13:00 08/03/2019 18:31:38
212 080319HVDH8G 18FC81349 JULIEN CASALI FRANCE 08/03/2019 12:00 08/03/2019 19:53:17
213 080319QSELTK 18DA46316 JULLEN CONSTANT FRANCK FRANCE 08/03/2019 12:00 08/03/2019 20:02:58
BERTRAND ETIENVRE
214 080319EB850G 10CH68098 NICOLAS JEAN MARIE FRANCE 08/03/2019 12:00 08/03/2019 20:05:20
THEVENET
215 080319S23R48 12CC59814 POL PIERRE LOUIS ROBERT FRANCE 08/03/2019 12:00 08/03/2019 20:07:28
216 080319MJSE9C 11AV78679 YANNIS BENCHIK FRANCE 08/03/2019 12:00 08/03/2019 20:10:44
217 090319D2QK4Y 210541014 ANN BATH UNITED KINGDOM 08/03/2019 22:00 09/03/2019 00:05:46
218 0903195P3CU2 539415307 ANTONY RICHARD TARLETON UNITED KINGDOM 08/03/2019 22:00 09/03/2019 00:08:04
219 090319G23M2E PA1379818 EMILY JANE DUGGAN AUSTRALIA 09/03/2019 22:00 09/03/2019 00:12:14
220 090319TU1PBT N3416676 BRENDAN JAMES CLARKE AUSTRALIA 09/03/2019 22:00 09/03/2019 00:14:22
221 0903193BAYZS 12CC31932 SOPHIEVERINIQUE FORLINI FRANCE 09/03/2019 14:30 09/03/2019 14:51:06
SAINT BERTIN
222 090319P5G1AG 17FC95784 MARIE PHILOMENE VELLA FRANCE 09/03/2019 14:30 09/03/2019 16:24:02
MOREIRA
223 090319QHLO4Y TS1544828 SONOE FURUYA JAPAN 09/03/2019 15:00 09/03/2019 16:32:58
224 09031928PZQ5 TK6763364 YORIKO SASAKI JAPAN 09/03/2019 15:00 09/03/2019 16:34:59
225 1003198X6106 YA7993414 ANTONIO DUSI ITALY 10/03/2019 19:00 10/03/2019 19:29:02
226 100319FH7W3V YA7993416 LOREDANA MARASPIN ITALY 10/03/2019 19:00 10/03/2019 19:31:16
227 1103190RKD3X 504974924 MARK ALEXANDER BAKER UNITED KINGDOM 11/03/2019 12:00 11/03/2019 18:31:36
228 11031908OL72 500513740 HARRIET JANE LLYOD OWEN UNITED KINGDOM 11/03/2019 12:00 11/03/2019 18:27:56
229 110319JWTMRW 801120895 IRENE BUCHAN UNITED KINGDOM 11/03/2019 14:00 11/03/2019 18:36:33
230 1103192B6WBU 554670189 JAMES BUCHAN UNITED KINGDOM 11/03/2019 14:00 11/03/2019 18:40:20
231 1103192OM187 17DK55442 FLAVIEN CLEMENT PIERRE FRANCE 11/03/2019 19:00 11/03/2019 19:53:48
EMMANUEL GUINY
232 110319EV05GD 93370299 HARALD GATU SWEDEN 11/03/2019 19:00 11/03/2019 19:58:14
233 1103199VAFNT 89605231 MARIE LOUISE BRINCK SWEDEN 11/03/2019 19:00 11/03/2019 20:01:16
234 120319VJ6N7J PAH591918 MARIO MONCADA SEGADO SPAIN 12/03/2019 15:30 12/03/2019 18:30:40
235 1203193P895B AAFO41568 MARIA ESTHER GONZALEZ SPAIN 12/03/2019 15:30 12/03/2019 18:33:13
CABRERA
236 12031933JDDI C7RM0ZJCK BETTINA ANNA SUSLIK GERMANY 12/03/2019 19:00 12/03/2019 20:23:12
237 120319PGI04G C7RLK6M69 MARKUS HUBERT KOTT GERMANY 12/03/2019 19:00 12/03/2019 20:25:48
238 130319289BB8 718863871 OLESIA LATYSHEVA RUSSIAN FEDERATION 13/03/2019 02:00 13/03/2019 07:31:16
239 130319O87356 710239290 ALEXANDER LATYSHEV RUSSIAN FEDERATION 13/03/2019 02:00 13/03/2019 07:33:44
240 130319O0HDNW FP2943825 ESA ANTERO LAMMI FINLAND 13/03/2019 10:00 13/03/2019 17:48:44
241 1403193O5X72 TK7304638 YOSHITOMO MORIOKA JAPAN 13/03/2019 21:00 14/03/2019 07:23:17
242 140319D2QR27 YA9849812 GREGORIO ELMI ITALY 14/03/2019 11:00 14/03/2019 19:06:21
243 140319A96TS3 YA0972143 FRANCESCA VITALI ITALY 14/03/2019 11:00 14/03/2019 19:08:55
244 140319RV6GKY 537336519 LIONEL VICTOR CHALKE UNITED KINGDOM 14/03/2019 12:00 14/03/2019 21:43:52
245 140319LC635E 537176224 WENDY RACHEL FOY UNITED KINGDOM 14/03/2019 12:00 14/03/2019 21:45:12
246 1403190XB582 209798256 NEILS CRONE KJELDSEN DENMARK 14/03/2019 12:00 14/03/2019 21:51:35
247 140319U26E8J 20980630 BIRTHE KJELDSEN DENMARK 14/03/2019 12:00 14/03/2019 21:53:00
248 1603198VV39T N5596701 KELLAPATHA WITHANA SRI LANKA 16/03/2019 12:00 16/03/2019 17:21:23
SUMATHIPALA KARIYAWASAM
249 16031913B748 N5592305 SAROJINI VASANTHA SRI LANKA 16/03/2019 12:00 16/03/2019 17:27:12
KARIYAWASAM
250 160319LTQ820 PF1476132 RHYS CHARLES FARREL IRELAND 16/03/2019 19:00 16/03/2019 22:52:30
251 160319O2XE64 PF7158829 DENISE SHEAHAN IRELAND 16/03/2019 19:00 16/03/2019 22:50:03
252 17031964I8PY 18FC68651 BARBARA JOANNA GRUCA FRANCE 17/03/2019 22:00 17/03/2019 23:08:39
253 1803191010HF N7046748 GARRY JOHN STURZAKER AUSTRALIA 18/03/2019 11:00 18/03/2019 12:53:52

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