12/28/2020 Print

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

Self health declaration form

COK  HYD
Kochi(T1) - Hyderabad 29 Dec 2020, 09:25 - 11:05 6E 913 PNR - ZMK62D

Loid Alex

Mobile No 91 9061906205

Email Id sreekumar@ktinterserve.com

Age 33

Destination address DMRL,DRDL Road Virat Nagar,KANCHANBAGH,HYDERABAD

Destination Pin code 500066

COVID Status

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.

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