‫ښٳ‬ἓṀ‫ڀٱڤژ‬

OFFICE OF THE COLLECTOR AND DISTRICT MAGISTRATE

EXEMPTION IN LOCKDOWN

Name of Applicant: Arjunsinh Dhangar

Address : 59-1014 shivanand nagr opp nagarwell Hanuman, amraiwadi
Taluka : Maninagar District : Ahmadabad
Email ID : Contact Number: 6355896506

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.

Arjunsinh Dhangar
Permission is granted to move the set of person below
From District : Ahmadabad , Taluka: Maninagar
To State :UTTAR PRADESH and District :AURAIYA
In Vehicle No GJ 27 TA 3700 , Return Tour : No , Vehicle Capacity : 4

Route Details Ahmedabad-godhra-Etawah-Auriya

Remarks
Passenger Details:
Sr Passenger Name Age Gender Identification Type Identification
No Number
1 Anjali pal 71 Female Aadhaar Card 682894263155
2 Arjunsinh Dhangar 62 Male Aadhaar Card 412000580818
3 Neelam Dhangar 52 Female Aadhaar Card 561043067368

Additional District Magistrate

Enclosure Collectorate AHMADABAD

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 01/05/2020