2/15/22, 8:40 PM Print

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

Self health declaration form

LKO  AMD
Lucknow(T2) - Ahmedabad 16 Feb 2022, 05:00 - 07:00 6E 142 PNR - HSFE5E

Nirmala Yadav

Mobile No 91 9825771916

Email Id jp3994@gmail.com

Destination address 16,C/O The new high school, Golwad, Ratanpole, A'

Destination Pin code 380001

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.

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2/15/22, 8:40 PM Print

Travel advisory: Safety during COVID-19

We seek your kind assistance to safeguard your well-being, as well as that of your fellow passengers and our crew
on board our flights, by following the guidelines set out below:
• All customers should wear a mask and sanitize their hands before proceeding to the boarding gate.
• Customers must wear a face mask covering their nose and mouth, throughout their journey with IndiGo. The mask may
be removed only while eating and drinking.
• Please maintain appropriate social distancing while boarding and de-boarding the aircraft.
• Kindly adhere to all the announcements and other directives issued by our ground staff and/or crew at all points of time
during your journey.
• Customers are also requested to familiarise themselves with the guidelines for air passengers published by the Indian Ministry of Civil
Aviation on the following link:
https://www.civilaviation.gov.in/sites/default/files/Guidelines_for_Air_Passengers_21May.pdf
https://www.mohfw.gov.in/pdf/Guidelinesfordomestictravelflighttrainshipbusinterstatetravel.pdf

• Caution: Customers are advised to strictly follow all COVID-19 protocols. Failure to comply with these guidelines
and the directions of our ground staff and/or crew may attract penal action against the concerned individual.

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