SELF DECLARATION FORM (To be submitted on arrival at the Airport)(Maharashtra - India)

                                                                                                                                                Annexure 2

SELF DECLARATION FORM

(To be submitted on arrival at the Airport)

Name
Date of Arrival
Arriving From
Local Address
Mobile Number

I/we hereby declare that:

• I/ we am/are not residing in any containment zone.

• I / we am/are not suffering from any fever/cough/any respiratory distress.

• I/ we are not under quarantine.

• If I/ we develop any of the above – mentioned symptoms I shall contact concerned health authorities, immediately.

• I/ we have not tested covid-19 positive in last two months.

• I / we am eligible to travel as per extant norms.

• I / we make my mobile number/ contact details available to the airlines whenever required by them.

• I/ we understand that if I/ we undertake the air journey without meeting the eligibility criteria, I / we would be liable to penal action.

• I / we undertake to adhere to the health protocol prescribed by Maharashtra State

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