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Details of travellers and non-travellers you are self-isolating with. Please fill in as many boxes as there are people:
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Declaration: I confirm that I have provided true and accurate information, and that I understand that a person who has provided false or misleading information may be prosecuted and, if convicted, be sentenced to pay a fine of up to £10,000.I also confirm that I have advised the individuals whose details are provided on this form.
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