6/2/2020 COVID-19 Permits

Movement Permits

DECLARATION FORM OF EXCEPTIONAL MOVEMENT OF PERSONS DURING STATE OF PUBLIC EMERGENCY

(reg. 7(1))

FOR ENQUIRIES, PLEASE CALL THE COVID-19 CALL CENTRE AT 16649

IN CASE OF MEDICAL EMERGENCIES PLEASE CALL 997

Applicant Details HOME GOV Portal

Surname* First, Middle names*

Sankoloba Chingani

Gender*
Identity Number* Nationality* Date Of Birth*
Identity Number Nationality DD/MM/yyyy Male  Female

Identity number is required. Gender is required

Cell Phone 1* Cell Phone 2

71 123 456 71 123 456 Email Address Plot Number*

Email Address Plot Number Address

District/Area*
Select district Village/Town/Locality*
Select Village/City/Town Locality/Ward*
Location/Ward

Household Characteristics
Select an option* Select an option*
Other (Please describe)
Multiple Houses Private Toilet
Single House Shared Toilet

Select housing arrangement Select toilet arrangements

Contact Details of Household Members

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Add

Surname* First, Middle Names* Cell Number

X Surname First, Middle Names Cell Number

Surname* First, Middle Names* Cell Number

X Surname First, Middle Names Cell Number

Travel Details*Blue Permit

valid for 5 days

Reason* Purpose
  of Travel* Destination
  Zone*
reason

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6/2/2020 COVID-19 Permits

Destination*
Destination

Departure Location

District/Area*
Select District/Area Village/Town/Locality*
Select Village/City/Town Departure Zone*
Select Village/City/Town

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Version 5.0.0-blue © BITRI 2020

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