Covid Registration - Govt. of Uttarakhand

Instructions: 1. Enter only valid Mobile no. If entered Mobile No. found false/invalid/wrong, action will be taken in Epidemic act or disaster management act.
2. Fill this Online Registration Form for Travel To Uttarakhand / From Uttarakhand / Within Uttarakhand.
3. It is Mandatory to follow the advisory issued by Government of India / Government of Uttarakhand for COVID 19.
4. For SOP, please visit Uttarakhand State Disaster Management Authority

1TRAVELLING REQUIRED FOR (यात्रा का प्रकार)

1. Request Type (यात्रा का प्रकार) *

1(b). MODE OF TRAVEL (यात्रा का माध्यम) *

2CATEGORY OF THE TRAVELLER (यात्रा की श्रेणी)

2(a). Registration Category (चयन करे) *

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2(b). Registration Sub Category

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2(c). JOURNEY DATE (यात्रा प्रारम्भ तिथि) *

3. DO YOU HAVE RT-PCR/TrueNAT/CBNAAT/Antigen TEST REPORT(COVID-19 NEGATIVE REPORT) FROM ICMR AUTHORIZED LAB *

3(a). Select State from where RT-PCR/TrueNAT/CBNAAT/Antigen Test is Done (चयन करे) *

3(b). Enter Lab Name from where RT-PCR/TrueNAT/CBNAAT/Antigen Test is conducted *

3(c). Select Date on which RT-PCR/TrueNAT/CBNAAT/Antigen Test is conducted *

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4(a). Are you coming from Out-of India *

4(b). Select Country from where you're coming

4(c). Select Airport where you're Arriving *

4(d). Upload Ticket Copy *

3TRAVELLING FROM (यात्रा प्रस्थान स्थान)

5. State (राज्य) *

6. District (जिला) *

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7. Present City (शहर) *

8. Address (घर का पता) *

5. District Name (जिला) *

6. Tehsil/Taluk/Mandal Name (तहसील) *

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7. Village/Ward Name (गाँव) *

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8. Address (घर का पता) *

4TRAVELLING TO (यात्रा गंतव्य स्थान)

8. District Name (जिला) *

9. Urban / Rural *

12. Address (घर का पता) *

5APPLICANT DETAILS (आवेदक का नाम)

13. Name of Traveller (नाम) - Mention only Single Person Name*

13(a). Father Name (पिता का नाम)*

14. Age (आयु) *

15. Gender (लिंग) *

16(a). E-Mail Address

16(b). Mobile No. (मोबाइल न) * - Do not use Country Code while entering Mobile No.

17. Government ID Type (पहचान संख्या का प्रकार) *

18. Government ID No.(पहचान संख्या) *

19. Status in Arogya Setu App *

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6TRAVELLING PLAN (यात्रा का विवरण)

21. NO. OF CO-TRAVELLERS (सह-यात्रीओं कि कुल संख्या) *

Please select No. Family Members/Co-Passengers from above first

7DOCUMENTS UPLOAD (पहचान अपलोड करें)

22. Upload Documentary/Address proof *

I declare that entered Mobile No. belongs to me or my family members. It is a valid and active mobile no.

I declare that the information provided by me is accurate and to the best of my knowledge.

The applicant information if found false action may be taken in Epidemic act or disaster management act.

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

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

I have downloaded and Installed Aarogya Setu App Download Aarogya Setu App Yes No

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REGISTRATION FOR TRAVELLING TO / FROM UTTARAKHAND

Covid Registration - Govt. of Uttarakhand