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Health & Contact Declaration

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DHARMESWAR BASUMATARY
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33 views

Health & Contact Declaration

Uploaded by

DHARMESWAR BASUMATARY
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
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6/4/22, 9:56 AM Health & Contact Declaration

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

Self health declaration form


DEL  DIB
Delhi(T2) - Dibrugarh 06 Jun 2022, 06:40 - 09:25 6E 2031 PNR - BPT3RA

DHARMESWAR BASUMATARY

Mobile No 91 6002287840

Email Id [email protected]

Destination address Bordoloni,787026,Gogamukh,Dhemaji

Destination Pin code 787026

COVID Status I am not COVID-19 positive.

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 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/health-and-contact-declaration.html 1/1

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