Scribd Logo
Upload

Welcome to Scribd!

  • Self Health Declaration Form: PAT HYD

    Uploaded by

    dudesdesires
    21 views1 page
    This self-health declaration form contains information about a passenger's travel from Patna to Hyderabad on January 16th, 2022. The passenger, Prateek Kumar, declares that he is not COVID-19 positive, is not residing in a containment zone, and is not experiencing any COVID symptoms. He agrees to follow all health protocols required by his destination.

    Original Description:

    Original Title

    Health Form. IndiGo

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This self-health declaration form contains information about a passenger's travel from Patna to Hyderabad on January 16th, 2022. The passenger, Prateek Kumar, declares that he is not COVID-19 positive, is not residing in a containment zone, and is not experiencing any COVID symptoms. He agrees to follow all health protocols required by his destination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    21 views1 page

    Self Health Declaration Form: PAT HYD

    Uploaded by

    dudesdesires
    This self-health declaration form contains information about a passenger's travel from Patna to Hyderabad on January 16th, 2022. The passenger, Prateek Kumar, declares that he is not COVID-19 positive, is not residing in a containment zone, and is not experiencing any COVID symptoms. He agrees to follow all health protocols required by his destination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

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

    Self health declaration form


    PAT  HYD
    Patna - Hyderabad 16 Jan 2022, 16:40 - 18:50 6E 594 PNR - UMYN2J

    Prateek kumar

    Mobile No 91 8825301332

    Email Id p.kumar0693@gmail.com

    Destination address Punjagutta Officers Colony

    Destination Pin code 500082

    COVID Status I am not COVID-19 positive.

    I have declared that:

    I am not residing in any containment zone.

    I am not suffering 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.

    You might also like