Air Suvidha | Covid-19 Update | Coronavirus | Self Declaration | Ministry of Health & Family Welfare India

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

Applications are being accepted on behalf of the Ministry of Health and Family Welfare, Government of India

Click here to read the Latest Guidelines for International Arrivals.

Request Number (If you already applied for exemption request form, please enter your unique application request number)

Contact Number*

Passport Number*

Flight number / Tail number*

PNR Number

For further support, click here to contact us.

Full Name*

Date of Birth*

Gender*

Flight number / Tail number*

Seat Number*

PNR Number

Nationality*

Passport Number*

Upload your Passport Copy

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

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

Upload File

Date of Arrival*

Country of Departure*

Are you taking a connecting Domestic flight?

Yes No

Upload RT-PCR Negative Certificate*

Test should be taken within 72 hours of departure.

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

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

Upload File

Upload RT-PCR Negative Certificate / Approved exemption due to death in the family.

City of Origin*

First Airport of Entry*

First Airport of Entry State/Union Territories*

Final Destination - House Number*

Final Destination Street/Village*

Final Destination Tehsil

Final Destination State/Union Territories*

Final Destination District/City*

Final Destination Pincode*

Contact Number*

Alternate Contact Number

Email ID*

Are you experiencing any of the following symptoms?*

Fever

Yes No

Cough

Yes No

Respiratory Distress

Yes No

Details of the Cities / Countries visited in last 14 days?*

How many passengers are travelling?

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

The above information is correct and in case of any wrong information and non-cooperation, I will be liable for punishable offence under the provisions of the Indian Penal Code and Disaster management Act. I also agree to the terms & conditions.

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

In case you 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 will tell you whom to contact further. In the meanwhile, keep yourself isolated in your house/room.