Self Health Declaration Form: TRV VNS

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2/12/2021 Print

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

Self health declaration form


TRV  VNS
Thiruvananthapuram(T1) - Varanasi 13 Feb 2021, 10:45 - 17:30 6E 6446E 453 PNR - NHG3SF

Shyni V

Mobile No 91 9452714123

Email Id [email protected]

Age 50

Destination address HIG 38 JAMUNIPUR BIDA COLONY

Destination Pin code 221401

COVID Status I am not COVID-19 positive.

I have declared that:

I am not residing in any containment zone.

I am not su ering 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 COVID-19 positive in the last three weeks.

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.

https://www.goindigo.in/check-in/print.html?sk=6E~ 644~ ~~TRV~02/13/2021 10:45~HYD~02/13/2021 12:35~~^6E~ 453~ ~~HYD~02/13/2021 15:40~VNS~02/13/2021 17:30~~&sps=NaN,1,2 1/2
2/12/2021 Print

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

Self health declaration form


TRV  VNS
Thiruvananthapuram(T1) - Varanasi 13 Feb 2021, 10:45 - 17:30 6E 6446E 453 PNR - NHG3SF

Thankachan P

Mobile No 91 9839045585

Email Id [email protected]

Age 56

Destination address HIG 38 JAMUNIPUR BIDA COLONY

Destination Pin code 221401

COVID Status I am not COVID-19 positive.

I have declared that:

I am not residing in any containment zone.

I am not su ering 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 COVID-19 positive in the last three weeks.

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.

https://www.goindigo.in/check-in/print.html?sk=6E~ 644~ ~~TRV~02/13/2021 10:45~HYD~02/13/2021 12:35~~^6E~ 453~ ~~HYD~02/13/2021 15:40~VNS~02/13/2021 17:30~~&sps=NaN,1,2 2/2

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