GOVERNMENT OF UTTARAKHAND

E-REGISTRATION FOR MOVEMENT OF PERSONS

Journey Registration

USER HAVE RT-PCR TEST REPORT(COVID-19 NEGATIVE REPORT) FROM ICMR AUTHORIZED LAB. WILL BE CHECKED AT BORDER CHECKPOST
 

CATEGORY FAMILY / PERSONAL REASON (SHORT VISIT UPTO 7DAYS)

SUB-CATEGORY FAMILY / RELATIVE MEET

DATE OF JOURNEY 24-07-2021 - 06:00 AM

DESTINATION NAINITAL//THE ASSURE VILLA RESORT, KHASRA NO-53,GRAM,SILOTI POINT

COVID-19 TEST REPORT YES

1. Registration No.: I1280002657117411414

2. Name: GIRISH DUA, Age: 51 yrs.
3. Aarogya Setu App Status: Green
4. From State: Delhi
5. No. of Family Members(if any): 3
6. Valid Upto: Your Stay in Uttarakhand is Valid upto 7 days i.e. till 31-07-2021

Journey Details
1. Mode of Travel: LIGHT MOTOR VEHICLE (LMV)
1(a). Vehicle No.: DL9CU9603
2. Travel Start Date & Time: 24-07-2021 - 06:00 AM
3. Travel Start Location: Delhi
4. Travel End Date & Time: 24-07-2021 - 07:00 PM
5. Travel End Location: Nainital//The assure villa resort, khasra no-53,Gram,siloti point
7. Other Co-Passengers:

SR. NO. FAMILY MEMBER NAME GENDER AGE MOBILE NO.

1. ANJU DUA FEMALE 49 9711443744

2. MANVI DUA FEMALE 23 9643451989

3. AGRIM DUA MALE 18 9818417997

Declaration given by the applicant:

1. He/She has read the Government order from http://usdma.uk.gov.in/.

2. The information provided by him/her is accurate to the best of his/her knowledge and he/she is aware that if the information provided by him is found false action may be
initiated in Epidemic act or disaster management act.

3. The Applicant is not from containment zone in his/her City/ District.

4. The Applicant solemnly affirms that he/she doesn't have any symptoms of COVID-19 like fever, dry cough etc.

5. The applicant is supposed to bring medical test negative report / certificate with him, which will be checked at border check post, in case he/she has declared as per the
state government order, that he/she has undergone RT-PCR/TrueNAT/CBNAAT/Antigen test.

6. If any of the information/declaration is found false or if any person violates any terms & conditions of the issuing authority then this registration will be automatically
considered null & void & action will be initiated against the person under IPC, The Epidemic Act 1897 and The Disaster Management Act 2005.

Note: If you or your family members are coming from containment area / Institutional Quarantine Centres then this registration will be treated as cancelled automatically.

Authorized Signatory,

DISTRICT ADMINISTRATION, NAINITAL

Note: This is computer generated registration. Signature not required. You can verify registration authencity from http://smartcitydehradun.uk.gov.in/e-pass