IOM ID: ETADD0100017497 ~

UK Pre-Departure Tuberculosis Detection Programme

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UKVisas
& Immigration

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,oM • o
Certificate No: ADD019455
SP ID No: ------ ----- Issue Date:
Expiry Date:
14-0ct-2024
14-Apr-2025
City:
Addis Ababa
Given name (as shown in passport):
Country: Ethiopia l
Mdiriz~k B~shir
Family name (as shown in passport):
AHMED Sputum Test IB1 Not Done O Negative
Chest X-Ray O Not Done IB1 Norma\ QAbnorma\
Gender [R] Male O Female Date of Birth:
03-Aug-1998
Nationality: Somalia Passport/ID No:
Ng_ evidence of active pulmonary TB IB1
P01534310
Number of accompanying children under ·11 years of age: 0 Family contact with tuberculosis
0
Full residential address: ~S:QO!!m@a!!!!liaL_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 0 Pregnant
0 Under 11 years of age and has undergone health assessment
0 Chest X-Ray & Interpretation with applicant
Address in the UK: 17 Sandalwood Close L6 5LW
0 Referral letter given to applicant
IMPORTANT: You must carry this certificate with you, in your hand luggage, when you travel to the UK and present it to the Immigration Officer on arrival. Fai\ure \
result in a delay to your journey as you may be required to undergo the tests again. Upon arrival in the UK you should register with a General Practitioner (GP) an<
of this certificate for their records. If your chest x-ray shows abn · requiring follow-up, we will also give you a copy of the chest x-ray and interpretation whid
have to give to the GP. , i-.:_~\1.ATIOfv
~r,,.r
IOM Health Professional Name Lidia Alemayehu H~~
IOM Health Professional Signature ~,, ~ ·• \ . .:11.,,,,,,.,....:s.7 ' ~ ~ .'.

Applicant's Signature
Date 14-0ct-2024
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Date 14-0ct-2;;;:( ~_ ~~ ~l Visa Category Family Reunion
MIGR~~~ ~<b/ -------------
This document contains information in connection with your~ ~ United Kingdom visa ONLY and does not constitute a di~gnosis or assurance of h
purpose. Issuance of the certificate does not mean that your ap p l i ~or a visa will be successful.
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