GOVERNMENT OF UTTARAKHAND

E-REGISTRATION FOR MOVEMENT OF PERSONS

Journey Registration

CATEGORY FAMILY / PERSONAL REASON (SHORT VISIT UPTO 7DAYS)

SUB-CATEGORY FAMILY / RELATIVE MEET

DATE OF JOURNEY 27-04-2021 - 06:00 AM

DESTINATION ALMORA//VILL.DEVALDHAR/POST.NAULAKOT

COVID-19 TEST REPORT NO

1. Registration No.: I1280001979120337411

2. Name: KAMAL SINGH NEGI, Age: 27 yrs.
3. Aarogya Setu App Status: Green
4. From State: Delhi
5. No. of Family Members(if any): 0
6. Valid Upto: Your Stay in Uttarakhand is Valid upto 7 days i.e. till 04-05-2021

Journey Details
1. Mode of Travel: TWO WHEELER
1(a). Vehicle No.: UP16BZ7988
2. Travel Start Date & Time: 27-04-2021 - 06:00 AM
3. Travel Start Location: delhi
4. Travel End Date & Time: 27-04-2021 - 07:00 PM
5. Travel End Location: Almora//VILL.DEVALDHAR/POST.NAULAKOT

Declaration given by the applicant:

1. He/She has read the Government order number 575/USDMA/792/(2020) Dated 01 Sept 2020,
609/USDMA/792(2020) Dated 11 Sept 2020, 625/USDMA/792/(2020) Dated 19 Sept 2020 of Unlock 4
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 not from containment zone in his/her City/ District.
4. The Applicant solemnly affirms that he/she doesn't have any symptoms of COVID-19 like fever, dry cough etc.
5. The applicant is supposed to bring medical test negative report / certificate with him, which will be checked at
border check post, in case he/she has declared as per the order dated 19th September, 2020 that he/she has
undergone RT-PCR/TrueNAT/CBNAAT/Antigen test.
6. If any of the information/declaration is found false or if any person violates any terms & conditions of the
issuing authority then this registration 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 registration will be treated as cancelled automatically.

Authorized Signatory,
DISTRICT ADMINISTRATION, ALMORA

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