GOVERNMENT OF UTTARAKHAND

E-REGISTRATION FOR MOVEMENT OF PERSONS

Journey Registration
 

CATEGORY TOURIST

SUB-CATEGORY TOURIST COMING TO UTTARAKHAND

DATE OF JOURNEY 16-08-2021 - 06:00 AM

DEHRADUN//RADHA BHAWAN ESTATE, CIRCULAR ROAD,

DESTINATION
MUSSOURIE

COVID-19 TEST
NO
REPORT

1. Registration No.: I1580002767395822468

2. Name: SARTHAK BHASIN, Age: 18 yrs.
3. Aarogya Setu App Status: Green
4. From State: Punjab
5. No. of Family Members(if any): 1

Journey Details
1. Mode of Travel: AIRWAYS
2. Travel Start Date & Time: 16-08-2021 - 06:00 AM
3. Travel Start Location: Ludhiana
4. Travel End Date & Time: 16-08-2021 - 07:00 PM
5. Travel End Location: Dehradun//Radha Bhawan Estate, Circular Road, Mussourie
7. Other Co-Passengers:

SR. NO. FAMILY MEMBER NAME GENDER AGE MOBILE NO.

1. NAMIT BHASIN MALE 24 9216642220

Declaration given by the applicant:

1. He/She has read the Government order from http://usdma.uk.gov.in/.

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 state government order, 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, DEHRADUN

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