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

Self health declaration form

DEL ! JRH
Delhi(T2) - Jorhat 28 Mar 2021, 07:00 - 10:55 6E 2939 PNR - NHT9GS

Anubhav Yadu

Mobile No 91 9935099016

Email Id dragon!yadu@gmail.com

Destination address Air Force Station, Jorhat

Destination Pin code 785006

COVID Status I am not COVID-19 positive.

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

Self health declaration form

DEL ! JRH
Delhi(T2) - Jorhat 28 Mar 2021, 07:00 - 10:55 6E 2939 PNR - NHT9GS

Akriti Sinha

Mobile No 91 9620533388

Email Id akritisinha14@gmail.com

Destination address Air Force Station, Jorhat

Destination Pin code 785006

COVID Status I am not COVID-19 positive.

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.
: