Undertaking cum Indemnity Bond , Embassy/High Commission of India, Subject: Consent Form for evacuation from... City, Countey) rae (ame, city, country) holding valid indian passport passport number, confirm my willingness o return to Ina 21 confirm my readiness to follow all instructions given by the officals of Gover IndiaEmbassy of India/Aircraft crewimedical personel on artivl 3. Lam slso willing o undergo 14 days mandatory quarantine on my arrival in India at my own expense as pr the protocols framed by the Government of Ini 4, fully understand that while taveling in he special repatriation figh/Tndian Naval ship | may be inadvertently exposed to any infection, including COVIDI9 virus, and having fully understood the risk to my person I voluntarily give content to tel to India inthe special reparation fight Naval ship. I undertake and agree that neither I nor my bees nor my executors nor administrators wil bold responsible Union of India, any official of Union of India or aff of aitne/naval ship or any of my fellow passengers for any injury to me (including death) o loss of property due to any accidental exposure. (Signature with date) Name: Passport Number: Mobile mall