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Air Suvidha 

Air Suvidha Self Declaration Form To be


Mandatorily Filled By All International
Arriving Passengers to India

Applications are being accepted on behalf of the


Ministry of Health and Family Welfare, Government of
India

Click here to read the Latest Guidelines for International


Arrivals.

Click here for FAQs related to Air Suvidha.

Click here to contact us for any Air Suvidha related


queries.

*Passengers are advised to check the latest guidelines


from the state APHOs or the airlines concerned before
starting their journey.

Full Name*

LOBYNTSEVA NATALIA

Flight Number (Arriving in India)*

FZ459

Nationality*

Russian Federation

Passport Number*

756849610

Date of Arrival*

19/10/2022

Country of Departure ( Origin )*

Russian Federation

Are you fully vaccinated?*

Yes   No

Date of RT-PCR Test Taken*

07/10/2022

I hereby certify that I have tested negative for COVID-19


and will produce the negative COVID-19 RT-PCR report*
(The test conducted within 72 hrs prior to undertaking
the journey) for verification by the competent authority
on arrival at Indian airport.

First Airport of Entry*

Kolkata Airport

Final Destination Address*

ISKCON Chandrodaya Mandir Sridham Mayapur, West Bengal, 741313 WEST BENGAL NADIA

Final Destination State/Union Territories*

West Bengal

Final Destination District/City*

Nadia

Final Destination Pincode*

741313

Mobile Number*

+91 3472245240

It is mandatory to provide a valid and working phone number


in India. The passengers will be liable for punishable offence
under the provisions of the Indian Penal Code and Disaster
management Act, if this information is found to be incorrect.

Email ID*

lobyncevan25@gmail.com

How many passengers are travelling with


you in the same flight and to the same final
destination?

- 0 +

Note: Passengers travelling to different final destinations


will have to fill a separate Self Declaration Form.

I agree to the guidelines issued by Ministry of Health &


Family Welfare

I undertake to quarantine/self monitor/take the self


paid Covid-19 test on arrival as applicable to me as per
the latest MOHFW guidelines.

I, the primary applicant/passenger, authorise to be


contacted by the Ministry of Health and Family Welfare,
Government of India, for the purpose of identification
and related checks of my co-passenger(s), if required. In
case of any default, the primary applicant will be liable
for punishable offences under the provisions of the
relevant Indian Laws. I also agree to the terms &
conditions.

I, the primary applicant, certify that the information


filled is correct and true.

SUBMIT

In case you develop symptoms such as fever and cough


within 28 days of leaving this airport, restrict your outdoor
movement and contact MoHFW's 24 hours helpline number
011-23978406. Call operator will tell you whom to contact
further. In the meanwhile, keep yourself isolated in your
house/room.

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