Scribd Logo
Upload

Welcome to Scribd!

  • Self Health Declaration Form: TRZ MAA

    Uploaded by

    AmbiJai
    28 views1 page
    This is a self-health declaration form for a passenger traveling from Tiruchirappalli to Chennai by IndiGo flight 6E 7151 on November 1st, 2020. The passenger, Mohamed Hasan Mohamed Mansur, declares that he is not residing in a containment zone, is not experiencing any COVID-19 symptoms, is not under quarantine, and will contact health authorities if symptoms develop. He also declares that he has not tested positive for COVID-19 in the last three weeks and is eligible to travel according to current norms.

    Original Description:

    Original Title

    hdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This is a self-health declaration form for a passenger traveling from Tiruchirappalli to Chennai by IndiGo flight 6E 7151 on November 1st, 2020. The passenger, Mohamed Hasan Mohamed Mansur, declares that he is not residing in a containment zone, is not experiencing any COVID-19 symptoms, is not under quarantine, and will contact health authorities if symptoms develop. He also declares that he has not tested positive for COVID-19 in the last three weeks and is eligible to travel according to current norms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    28 views1 page

    Self Health Declaration Form: TRZ MAA

    Uploaded by

    AmbiJai
    This is a self-health declaration form for a passenger traveling from Tiruchirappalli to Chennai by IndiGo flight 6E 7151 on November 1st, 2020. The passenger, Mohamed Hasan Mohamed Mansur, declares that he is not residing in a containment zone, is not experiencing any COVID-19 symptoms, is not under quarantine, and will contact health authorities if symptoms develop. He also declares that he has not tested positive for COVID-19 in the last three weeks and is eligible to travel according to current norms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

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

    Self health declaration form


    TRZ  MAA
    Tiruchirappalli - Chennai 01 Nov 2020, 22:15 - 23:25 6E 7151 PNR - PGF47S

    MOHAMED HASAN MOHAMED MANSUR

    Mobile No 91 9597966822

    Email Id galaxyambi@gmail.com

    Age 30

    Destination address Government Medical College Omandurar Government E

    Destination Pin code 600002

    I have declared that:

    I am not residing in any containment zone.

    I am not su ering 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.

    You might also like