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Office of The Collector and District Magistrate: Datta Prasad Datta Ali Tilak Chowk Kalyan West Pincode 421301

This document is a pass issued by the Office of the Collector and District Magistrate of Vadodara, Gujarat allowing Jayeshkumar Bhaka to travel from Thane, Maharashtra to Vadodara, Gujarat. It provides details of the applicant, passengers, vehicle, and route. Conditions for the travel during the COVID-19 pandemic include following central and state guidelines, taking precautions to prevent transmission, and only using the pass for the specified purpose and travel.

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pramodyad5810
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618 views

Office of The Collector and District Magistrate: Datta Prasad Datta Ali Tilak Chowk Kalyan West Pincode 421301

This document is a pass issued by the Office of the Collector and District Magistrate of Vadodara, Gujarat allowing Jayeshkumar Bhaka to travel from Thane, Maharashtra to Vadodara, Gujarat. It provides details of the applicant, passengers, vehicle, and route. Conditions for the travel during the COVID-19 pandemic include following central and state guidelines, taking precautions to prevent transmission, and only using the pass for the specified purpose and travel.

Uploaded by

pramodyad5810
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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‫ښٳ‬ἓṀ‫ڀٱڤژ‬

OFFICE OF THE COLLECTOR AND DISTRICT MAGISTRATE


PASS FOR COMING TO GUJARAT FROM OTHER STATE

Name of Applicant: JAYESHKUMAR G BHAKA Approve Date: 12/06/2020

Source Address : DATTA PRASAD DATTA ALI TILAK CHOWK KALYAN WEST PINCODE 421301
Souce District : THANE Source State: MAHARASHTRA
Email ID : [email protected] Contact Number: 8879064438
Declaration

Information furnished by me/us are true to our best of my/our knowledge, I/we agree upon to abide by any of the actions
taken by Government in case of violation of any conditions in this regards.

JAYESHKUMAR G BHAKA
Permission is granted to move the set of person below
From State : MAHARASHTRA and District : THANE
To State: Gujarat and District : Vadodara and Taluka : Vadodara and Village :

In Vehicle No MH05 CM 1275 , Vehicle Capacity : 4

Route Details BY ROAD


Remarks Approved ȺkdhY^ŽD^ShXe°_h8XWjWĥDWhe°ƣTdpƛN^X^ƨ˲ŽWӄFN°ƨNY^ĥ]hSD^haahWs^e°bp

Passenger Details:
Sr Passenger Name Age Gender Identification Type Identification
No Number
1 JAYESHKUMAR G 42 Male Aadhaar Card 921XXXXXX434
BHAKA
2 PRAMOD H YADAV 38 Male Aadhaar Card 744XXXXXX037
3 RAHUL SUTAR 26 Male Driving License MH05 20140033556

This Pass conveys acceptance by Gujarat state for return .Before beginning journey from your current location,Please
note that you will need permission of local District Magistrate or Police Commissioner

Executive Magistrate
Enclosure Collectorate VADODARA

1 Aadhaar Card
Conditions
1. Central government and State Government guidelines regarding corona virus are to be strictly followed
2. Every due course of action to be taken so that all goods / vehicles /employee's being transferred do not get contagious
to avoid any kind of COVID -19 transmission

3. This exemption permit shall be used only for the purpose mentioned above.
4. Exemption permission will only be valid with identity card which you have submitted during the application. You have to
show/present your I-card before the inspection/checking authority or Government officials.
5. You/ your service/industry/activities will be held responsible if they don't follow the Government advisories regarding
COVID-19.

Courtesy :: National Informatics Centre, Gujarat Print Date 12/06/2020

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