Registering Your Test Kit

We are required to collect this information by the UK Government.

You must complete this form separately for each test kit that you have ordered from us, entering a different unique booking reference number each time.

Order ID*
Enter your order ID. You can find this in the order email that we sent you.
Booking Reference Number:*
Enter your unique 12 digit Booking Reference Number here. It starts with CHLTD. You can find this in your order email from us. You must use a different Booking Reference Number for each kit/order that you are registering with us.
What will this kit be used for:*
Full Name*
Sex*
Date of Birth*
DD slash MM slash YYYY
NHS Number (if known and applicable)
Ethnicity
Home Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Address that you intend to quarantine at (if different from your home address)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
Telephone number*
Vaccination Status*
The date of your arrival in the UK*
DD slash MM slash YYYY
Your passport number*
The 9 digit number located on the top right of your passport photo page.
Coach number, flight number or vessel name (as appropriate)*
The date on which you departed from or transited through a country or territory outside the common travel area*
DD slash MM slash YYYY
The country or territory you were travelling from when you arrived in the UK, and any country or territory you transited through as part of that journey*