3/31/22, 12:26 PM Print

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

Self health declaration form

TRV  CNN
Thiruvananthapuram(T1) - Kannur 02 Apr 2022, 11:20 - 12:40 6E 7976 PNR - NGUE7L

KADEEJATHIL KUBRA

Mobile No 91 9605163242

Email Id perumadath@gmail.com

Destination address FATHIMA HOUSE,CHAYOTH,NILESWAR

Destination Pin code 671314

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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 1/6

3/31/22, 12:26 PM Print

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

Self health declaration form

TRV  CNN
Thiruvananthapuram(T1) - Kannur 02 Apr 2022, 11:20 - 12:40 6E 7976 PNR - NGUE7L

SUMAYYA I SUMAYYA I

Mobile No 91 9605163242

Email Id perumadath@gmail.com

Destination address FATHIMA HOUSE,CHAYOTH,NILESWAR

Destination Pin code 671314

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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 2/6

3/31/22, 12:26 PM Print

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

Self health declaration form

TRV  CNN
Thiruvananthapuram(T1) - Kannur 02 Apr 2022, 11:20 - 12:40 6E 7976 PNR - NGUE7L

SAIRASAMEER SAIRASAMEER

Mobile No 91 9605163242

Email Id perumadath@gmail.com

Destination address FATHIMA HOUSE,CHAYOTH,NILESWAR

Destination Pin code 671314

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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 3/6

3/31/22, 12:26 PM Print

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

Self health declaration form

TRV  CNN
Thiruvananthapuram(T1) - Kannur 02 Apr 2022, 11:20 - 12:40 6E 7976 PNR - NGUE7L

MUHAMMED ZAYYAN

Mobile No 91 9605163242

Email Id perumadath@gmail.com

Destination address FATHIMA HOUSE,CHAYOTH,NILESWAR

Destination Pin code 671314

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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 4/6

3/31/22, 12:26 PM Print

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

Self health declaration form

TRV  CNN
Thiruvananthapuram(T1) - Kannur 02 Apr 2022, 11:20 - 12:40 6E 7976 PNR - NGUE7L

MUHAMMED SAHRAN S

Mobile No 91 9605163242

Email Id perumadath@gmail.com

Destination address FATHIMA HOUSE,CHAYOTH,NILESWAR

Destination Pin code 671314

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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 5/6

3/31/22, 12:26 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.

https://www.goindigo.in/check-in/print.html.html?sk=6E~7976~ ~~TRV~04/02/2022 11:20~CNN~04/02/2022 12:40~~&sps=1,2,3,4,5, 6/6