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

Self health declaration form

COK  MLE
Kochi(T3) - Male 09 Nov 2020, 13:40 - 14:40 6E 1795 PNR - CIC86Z

Manoj Gowdar Ramakrishna

Mobile No 91 9108687447

Email Id manojgramakrishna@gmail.com

Age 28

Destination address South Male Atoll, Olhuveli Male, 08400, Maldives

Destination Pin code 08400

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

COK  MLE
Kochi(T3) - Male 09 Nov 2020, 13:40 - 14:40 6E 1795 PNR - CIC86Z

Yamini Sai Kumari

Mobile No 91 9108687447

Email Id MANOJGRSAI@GMAIL.COM

Age 23

Destination address South Male Atoll, Olhuveli Male, 08400, Maldives

Destination Pin code 08440

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.