R-1-ea-4 - Single Family Residential 6-8 Units / Acre/executive Airport

Air Suvidha Cocky Declaration Form To be Mandatorily Filled By All International Arriving Passengers to India

Applications are being accustomed on behalf of the Ministry building of Health and Family Welfare, Government of Bharat

Click here to read the Latest Guidelines for International Arrivals.

Click here for FAQs related to Air Suvidha.

Click here to contact the states for any Air Suvidha related queries.

*Passengers are advised to check the latest guidelines from the state APHOs or the airlines concerned earlier starting their journeying.

Asking Number (If you already practical for exemption request form, delight enter your unique application request number)

Flying Number (Arriving in India)*

Date of Nascency*

Gender*

Flight Number (Arriving in India)*

Seat Number*

Passenger, without assigned seat number, needs to put "00" to submit the application. Passenger shall be responsible to self edit the SDF and provide the correct seat number, before boarding the shipping. This is a mandatory requirement and essential for contact tracing purpose.

Nationality*

Upload your Passport Re-create

Upload file blazon PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Only hyphen and underscore permitted.

X

Upload File

Date of Inflow*

Land of Departure ( Origin )*

Are you being evacuated from Ukraine by the Ministry of External Diplomacy?*

Yes No

Are you taking a connecting Domestic flight?*

Yes No

Domestic Connecting Flight Number

Upload Vaccination Document

Upload file type PDF
The maximum upload size is 1MB.

File proper noun with any special characters and space are non permitted. Only hyphen and underscore permitted.

10

Upload File

Location of Concluding Vaccination dose

Date of Concluding Dose of Vaccination

Upload RT-PCR Negative Certificate*

Exam should exist taken within 72 hours of departure.

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Only hyphen and underscore permitted.

10

Upload File

Date of RT-PCR Exam Taken*

Exam on arrival wherever applicable for kids.

First Aerodrome of Entry*

Start Drome of Entry State/Union Territories*

Final Destination - Firm Number*

Information technology is mandatory to provide the right and a valid residence accost in Bharat. The passengers will exist liable for punishable offence under the provisions of the Indian Penal Code and Disaster management Act, if this data is found to exist incorrect.

Final Destination Street/Village*

Terminal Destination Country/Spousal relationship Territories*

Last Destination Commune/City*

Final Destination Pincode*

Are yous experiencing any of the post-obit symptoms?*

Respiratory Distress

Yes No

Are you suffering from*

Under Immunosuppresive
Therapy

Yes No

Post Transplant Patients

Yes No

Details of the Countries visited in terminal xiv days?*

How many passengers are travelling?

Date of Birth*

Gender*

Flight Number (Arriving in India)*

Seat Number*

Passenger, without assigned seat number, needs to put "00" to submit the application. Passenger shall exist responsible to self edit the SDF and provide the correct seat number, before boarding the aircraft. This is a mandatory requirement and essential for contact tracing purpose.

Nationality*

Upload your Passport Copy

Upload file type PDF
The maximum upload size is 1MB.

File name with whatsoever special characters and space are not permitted. Only hyphen and underscore permitted.

X

Upload File

Date of Arrival*

Country of Departure ( Origin )*

Are you existence evacuated from Ukraine by the Ministry of External Diplomacy?*

Aye No

Are you taking a connecting Domestic flying?*

Yep No

Domestic Connecting Flying Number

Upload Vaccination Certificate

Upload file blazon PDF
The maximum upload size is 1MB.

File name with any special characters and infinite are not permitted. Just hyphen and underscore permitted.

Ten

Upload File

Location of Concluding Vaccination dose

Date of Concluding Dose of Vaccination

Upload RT-PCR Negative Certificate*

Exam should be taken within 72 hours of divergence.

Upload file blazon PDF
The maximum upload size is 1MB.

File name with any special characters and space are non permitted. Only hyphen and underscore permitted.

X

Upload File

Engagement of RT-PCR Test Taken*

Test on inflow wherever applicable for kids.

Beginning Airport of Entry*

Showtime Airport of Entry State/Matrimony Territories*

Final Destination - House Number*

It is mandatory to provide the correct and a valid residence address in India. The passengers will be liable for punishable offence under the provisions of the Indian Penal Code and Disaster direction Act, if this information is institute to be incorrect.

Final Destination Street/Village*

Final Destination Land/Wedlock Territories*

Last Destination District/Urban center*

Final Destination Pincode*

Are you lot experiencing whatsoever of the following symptoms?*

Respiratory Distress

Yep No

Are you suffering from*

Under Immunosuppresive
therapy

Yeah No

Mail Transplant patients

Yes No

Details of the Countries visited in last 14 days?*

Appointment of Nascency*

Gender*

Flight Number (Arriving in India)*

Seat Number*

Passenger, without assigned seat number, needs to put "00" to submit the application. Passenger shall be responsible to self edit the SDF and provide the right seat number, before boarding the aircraft. This is a mandatory requirement and essential for contact tracing purpose.

Nationality*

Upload your Passport Copy

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. But hyphen and underscore permitted.

Ten

Upload File

Date of Arrival*

Land of Departure ( Origin )*

Are you being evacuated from Ukraine by the Ministry building of External Affairs?*

Yes No

Are you taking a connecting Domestic flying?*

Yep No

Domestic Connecting Flight Number

Upload Vaccination Document

Upload file blazon PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Merely hyphen and underscore permitted.

X

Upload File

Location of Last Vaccination dose

Date of Last Dose of Vaccination

Upload RT-PCR Negative Document*

Test should be taken within 72 hours of departure.

Upload file type PDF
The maximum upload size is 1MB.

File name with whatever special characters and infinite are non permitted. Only hyphen and underscore permitted.

10

Upload File

Date of RT-PCR Test Taken*

Test on arrival wherever applicative for kids.

First Airport of Entry*

Starting time Airport of Entry State/Marriage Territories*

Last Destination - Firm Number*

It is mandatory to provide the correct and a valid residence address in Bharat. The passengers volition be liable for punishable offence under the provisions of the Indian Penal Code and Disaster management Act, if this data is found to be incorrect.

Final Destination Street/Village*

Final Destination State/Marriage Territories*

Final Destination District/Metropolis*

Last Destination Pincode*

Are you experiencing any of the following symptoms?*

Respiratory Distress

Yep No

Are you suffering from*

Under Immunosuppresive
therapy

Yes No

Post Transplant patients

Yes No

Details of the Countries visited in last fourteen days?*

Appointment of Birth*

Gender*

Flight Number (Arriving in India)*

Seat Number*

Passenger, without assigned seat number, needs to put "00" to submit the application. Rider shall exist responsible to self edit the SDF and provide the right seat number, before boarding the aircraft. This is a mandatory requirement and essential for contact tracing purpose.

Nationality*

Upload your Passport Re-create

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Merely hyphen and underscore permitted.

10

Upload File

Date of Arrival*

Land of Divergence ( Origin )*

Are yous existence evacuated from Ukraine by the Ministry of External Diplomacy?*

Yes No

Are you lot taking a connecting Domestic flight?*

Yes No

Domestic Connecting Flight Number

Upload Vaccination Certificate

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Simply hyphen and underscore permitted.

X

Upload File

Location of Terminal Vaccination dose

Date of Final Dose of Vaccination

Upload RT-PCR Negative Certificate*

Test should be taken within 72 hours of difference.

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Only hyphen and underscore permitted.

X

Upload File

Appointment of RT-PCR Exam Taken*

Test on arrival wherever applicable for kids.

Kickoff Airport of Entry*

First Airport of Entry Country/Marriage Territories*

Concluding Destination - House Number*

It is mandatory to provide the correct and a valid residence address in Republic of india. The passengers will be liable for punishable offence nether the provisions of the Indian Penal Code and Disaster direction Act, if this data is plant to be wrong.

Concluding Destination Street/Village*

Last Destination State/Union Territories*

Concluding Destination District/City*

Concluding Destination Pincode*

Are you experiencing any of the following symptoms?*

Respiratory Distress

Yes No

Are you suffering from*

Nether Immunosuppresive
therapy

Yeah No

Mail service Transplant patients

Yeah No

Details of the Countries visited in terminal 14 days?*

Appointment of Nascency*

Gender*

Flight Number (Arriving in India)*

Seat Number*

Passenger, without assigned seat number, needs to put "00" to submit the application. Passenger shall be responsible to self edit the SDF and provide the correct seat number, before boarding the aircraft. This is a mandatory requirement and essential for contact tracing purpose.

Nationality*

Upload your Passport Copy

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Only hyphen and underscore permitted.

Ten

Upload File

Engagement of Arrival*

State of Departure ( Origin )*

Are you lot beingness evacuated from Ukraine by the Ministry of External Affairs?*

Yeah No

Are you taking a connecting Domestic flight?*

Aye No

Domestic Connecting Flying Number

Upload Vaccination Certificate

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and space are not permitted. Only hyphen and underscore permitted.

Ten

Upload File

Location of Last Vaccination dose

Date of Concluding Dose of Vaccination

Upload RT-PCR Negative Certificate*

Test should be taken within 72 hours of deviation.

Upload file type PDF
The maximum upload size is 1MB.

File name with any special characters and infinite are not permitted. Only hyphen and underscore permitted.

X

Upload File

Date of RT-PCR Test Taken*

Test on arrival wherever applicable for kids.

First Aerodrome of Entry*

Start Airport of Entry State/Union Territories*

Concluding Destination - House Number*

Information technology is mandatory to provide the correct and a valid residence address in India. The passengers will be liable for punishable offence nether the provisions of the Indian Penal Code and Disaster management Act, if this information is plant to be incorrect.

Final Destination Street/Village*

Last Destination Country/Union Territories*

Last Destination District/City*

Final Destination Pincode*

Are you experiencing whatever of the post-obit symptoms?*

Respiratory Distress

Yes No

Are yous suffering from*

Under Immunosuppresive
therapy

Yes No

Post Transplant patients

Yes No

Details of the Countries visited in concluding 14 days?*

I agree to the guidelines issued by Ministry of Health & Family Welfare

The above information is correct and in case of whatsoever incorrect information and not-cooperation, I volition be liable for punishable offence under the provisions of the Indian Penal Code and Disaster management Act. I besides agree to the terms & conditions.

I undertake to quarantine/self monitor/take the self paid Covid-nineteen test on arrival as applicable to me equally per the latest MOHFW guidelines.

I hereby confirm that I will pre-book my Covid-19 test equally per the latest guidelines issued by the Ministry of Ceremonious Aviation.

In case y'all develop symptoms such as fever and cough within 28 days of leaving this airport, restrict your outdoor movement and contact MoHFW's 24 hours helpline number 011-23978406. Call operator volition tell you whom to contact further. In the meanwhile, go on yourself isolated in your house/room.

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Source: https://www.newdelhiairport.in/airsuvidha/apho-registration

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