DETAILS OF INFORMATION TO BE FURNISHED TO STATE LOCAL MEDICAL
AUTHORITIES OF PEROSN IN ROOM QUARANTINE.
Please furnish the following details to GA and Estate Office (email fe
gadmin@iimk.ac.in and estate@iimk.ac.in) for reporting/ providing intimation to the
'ocal state health authorities, immediately on arrival from outside state
1. Name of the person/s in room quarantine. Qibuyza J Poul
2.Gender&age' Wale, 26
3. Mobile no. 40 51623634
4. Place of origin of travel State & place): Kolkata , West ‘Bengal
5. Mode of travel (Bus/Train/Flight/Pv. vehicle or any other mode) Ee light
6. Dates time of arrvat: 2:00PM, 10th December
7. Place of quarantine (If at IIMK please specify quarters no/hostel no.): Hostel N,
Room HOt