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GOVERNMENT OF UTTARAKHAND

E-PASS SYSTEM FOR MOVEMENT OUTSIDE UTTARAKHAND


STATE

Lockdown Pass
This pass is not valid for people travelling from abroad. Separate instructions has been issued by GOI

1. Pass No.: O1330000278236361761


1(a). Pass Category: FAMILY / PERSONAL REASON - OTHER
2. Name: ABHISEKH JUYAL, Age: 21 yrs.
3. Aarogya Setu App Status: Green
4. From State: UTTARAKHAND
5. No. of Family Members(if any): 1

PERMISSION TO MOVE OUT OF UTTARAKHAND STATE AFTER SCREENING AT BORDER CHECK


POINTS

Journey Details
1. Mode of Travel: TAXI/CAB
1(a). Vehicle No.: UK07TB8988
2. Travel Start Date & Time: 19-07-2020 - 06:00 AM
3. Travel Start Location: Pauri Garhwal/HOUSE NO. 31,VILLAGE UAFALDA,PAURI
GARHWAL,UTTARAKHAND,246174
4. Travel End Date & Time: 20-07-2020 - 07:00 PM
5. Travel End Location: Haryana/KURUKSHETRA/Thanesar Kurukshetra
6. Remarks: APPROVED. FOLLOW RULES AS MENTIONED IN EPASS
7. Other Family Members allowed in Pass:

SR. NO. FAMILY MEMBER NAME GENDER AGE MOBILE NO.

1. SARAFAT HUSSAIN MALE 36 6395803475

This pass is issued on the basis of the declaration given by the applicant that:
1. He/She will have to undergo a mandatory 14 day quarantine.
2. The applicant is not from a containment zone in his/her city/district.
3. You are requested to bring medical screening certificate with you. Without that you're not allowed to enter the
state.
4. If you have come from abroad in last 14 days / or If you have traveled by air within the last 14 days, You will
undergo Institutional quarantine and will abide by all rules and regulations of GOI.
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: Traveller from following category/location have to follow the instructions of the state Government.
If fail he/she might be punish under the disaster act.
1. ORIGIN FROM NON HIGH-LOAD COVID INFECTED CITIES.
2. TRAVELING BY FLIGHT & TRANSITING THROUGH HIGH LOAD COVID INFECTED CITIES.
3. LEISURE TRAVELLER (FROM NON HIGH-LOAD COVID AFFECTED CITIES).

Authorized Signatory,
Nodal office for Stranded Persons, GOVT OF UTTARAKHAND

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

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