GOVERNMENT OF UTTARAKHAND

E-REGISTRATION FOR MOVEMENT OF PERSONS

Lockdown Pass
This pass is not valid for people travelling from abroad (separate instructions has been issued by GOI)

1. Pass No.: I1040000945047171929

1(a). Pass Category: INDUSTRY / PVT. SECTOR / ORGANIZATION - SERVICE EMPLOYEE OF PVT /
LIMITED COMPANY.
2. Name: ANIL KUMAR GWARI, Age: 49 yrs.
3. Aarogya Setu App Status: Green
4. From State: Punjab
5. No. of Family Members(if any): 0

PERMISSION TO ENTER STATE OF UTTARAKHAND AFTER SCREENING AT BORDER CHECK POINTS

Journey Details
1. Mode of Travel: WITHOUT VEHICLE
2. Travel Start Date & Time: 15-08-2020 - 06:00 AM
3. Travel Start Location: Mohali
4. Travel End Date & Time: 15-08-2020 - 07:00 PM
5. Travel End Location: Dehradun//Lane no. 5, Haripur Kalan, Birlafarm, Dehradun
6. Remarks: APPROVED. FOLLOW RULES AS MENTIONED IN E-PASS

This pass is issued on the basis of the declaration given by the applicant that:
1. He/She has read the Government order number 505/USDMA/792(2020) dated 4th August, 2020 of Unlock 3
mentioned under Instruction section and undertakes to abide by the same.
2. The information provided by him/her is accurate to the best of his/her knowledge and he/she is aware that if
the information provided by him is found false action may be initiated in Epidemic act or disaster management
act.
3. The applicant is aware that he/she may have to undergo quarantine as per the order dated 4th August, 2020.
4. The Applicant is not from containment zone in his/her City/ District.
5. The applicant solemnly affirms that he/she doesn't have any symptoms of COVID-19 like fever, dry cough etc.

The applicant is supposed to bring medical test negative report / certificate with him, which will be checked at
border check post, in case he has declared as per the order dated 4th August, 2020 that he/she has undergone
RT-PCR test.

If any of the information/declaration is found false or if any person violates any terms & conditions of the issuing
authority then this pass will be automatically considered null & void & action will be initiated against the person
under IPC, The Epidemic Act 1897 and The Disaster Management Act 2005.
Note: If you or your family members are coming from containment area / Institutional Quarantine Centres
then this pass will be treated as cancelled automatically.

Authorized Signatory,
DISTRICT ADMINISTRATION, DEHRADUN

Note: This is computer generated Pass. Signature not required. You can verify pass authencity from
http://smartcitydehradun.uk.gov.in/e-pass