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Patna to Chennai Travel Health Declaration

Rohit Kumar completed a self-health declaration form for his travel from Patna to Chennai on August 28, 2020. He declared that he is not residing in a containment zone, suffering from any COVID-19 symptoms, under quarantine, or tested positive in the last two months. He agreed to follow all health protocols and make his contact details available. The form instructs him to carry a print of the page on the day of travel.

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Ankit Kumar
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68 views1 page

Patna to Chennai Travel Health Declaration

Rohit Kumar completed a self-health declaration form for his travel from Patna to Chennai on August 28, 2020. He declared that he is not residing in a containment zone, suffering from any COVID-19 symptoms, under quarantine, or tested positive in the last two months. He agreed to follow all health protocols and make his contact details available. The form instructs him to carry a print of the page on the day of travel.

Uploaded by

Ankit Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Please carry the print of this page on the day of Travel

Self health declaration form
PAT MAA
Patna ­ Chennai (T1) . 28 Aug 2020 19:10 . 6E 6239 . PNR ­ VGDMQI

ROHIT KUMAR

Mobile no 7352669314

Email Id [email protected]

Age 33

Destination address Tej Lakhansayera

Destination Pin code 844114

I have declared that:
I am not residing in any containment zone.
I am not suffering from any fever, cough, or any respiratory distress.
I am not under quarantine.
If I ever develop any of the above mentioned symptoms I will immediately contact the concerned health
authorities.
I have not tested COVID­19 positive in the last two months.
I am eligible to travel as per the extant norms.
I will make my mobile number/ contact details available to IndiGo, whenever required by them.
I understand that if I undertake the air journey without meeting the eligibility criteria, I would be liable to
penal action.
I will adhere to the health protocol prescribed by the destination state/ union territory.

Please carry the print of this page on the day of Travel

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