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  • ( Patient Name in Case of Self) :: COVID-19 Movement Pass

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    Shiva Gangwar
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    The document is a COVID-19 movement pass issued by the District Magistrate of Farrukhabad, Uttar Pradesh, India to Shiva Gangwar allowing him to travel from Farrukhabad to Ghaziabad from April 19-21. The purpose of the travel is for medical services as Gangwar's mother is a sugar patient suffering from a major pancreatic attack and needs to visit a place in Indirapuram, Ghaziabad. Only one additional person can accompany the patient according to the note on the pass.

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    The document is a COVID-19 movement pass issued by the District Magistrate of Farrukhabad, Uttar Pradesh, India to Shiva Gangwar allowing him to travel from Farrukhabad to Ghaziabad from April 19-21. The purpose of the travel is for medical services as Gangwar's mother is a sugar patient suffering from a major pancreatic attack and needs to visit a place in Indirapuram, Ghaziabad. Only one additional person can accompany the patient according to the note on the pass.

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    © All Rights Reserved
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    10 views2 pages

    ( Patient Name in Case of Self) :: COVID-19 Movement Pass

    Uploaded by

    Shiva Gangwar
    The document is a COVID-19 movement pass issued by the District Magistrate of Farrukhabad, Uttar Pradesh, India to Shiva Gangwar allowing him to travel from Farrukhabad to Ghaziabad from April 19-21. The purpose of the travel is for medical services as Gangwar's mother is a sugar patient suffering from a major pancreatic attack and needs to visit a place in Indirapuram, Ghaziabad. Only one additional person can accompany the patient according to the note on the pass.

    Copyright:

    © All Rights Reserved
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    COVID-19

    Movement Pass
      अपर जला धकारी ( व एवं राज व),फ खाबाद 

    Registration No: 159002706 Registration Date: 19/04/2020

    Name of the Applicant (**Patient Name In Case of Self): shiva gangwar

    DOB/Age of the Applicant: 26 yrs Gender: Male

    Mobile Number: 8700522196

    District of the applicant: फ खाबाद


    Complete Address of Applicant: vill-ghasiya chiluali kaimganj farrukhabad

    Pass for: Self

    Pass Area: Across District

    To District: गा जयाबाद
    Vehicle Type and Its Vehicle No.: Two whealer / HR 26 DB3379

     Service Type: वा य सेवा (पशु के वा य सेवा स हत)


    Service Description/Reason/Purpose: my mother is sugar patient with major pancreatic attack

    Place of Visit: indirapuram ghaziabad up

    From Date and Time: 19/04/2020

    To Date and Time: 21/04/2020

    Approved By: Vivek Shrivastav

    Approval Authority Designation: अपर जला धकारी ( व एवं राज व),फ खाबाद
    Approval Date: 20/04/2020

    NOTE: Only one additional person can be accompanied with the patient

    आव यक नदश: ईपास म द गई सूचनाय गलत या फज पाये जाने पर द डत कया जायगा ।

    Date: 20/04/2020 Solution Provider: NIC-UPSC, Lucknow

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