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The o Cials of Government of India/Embassy of India/Aircraft Crew/medical Personnel On Arrival

The document is a consent form for evacuation from a foreign city/country amid the COVID-19 pandemic. It contains an individual's agreement to return to India from their current location, follow all instructions provided by Indian government/embassy officials during the evacuation and arrival process, and undergo a mandatory 14-day quarantine in India at their own expense according to the protocols set by the Indian government. The form requires the individual's signature, name, passport number, and mobile number.

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criharsha
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52 views

The o Cials of Government of India/Embassy of India/Aircraft Crew/medical Personnel On Arrival

The document is a consent form for evacuation from a foreign city/country amid the COVID-19 pandemic. It contains an individual's agreement to return to India from their current location, follow all instructions provided by Indian government/embassy officials during the evacuation and arrival process, and undergo a mandatory 14-day quarantine in India at their own expense according to the protocols set by the Indian government. The form requires the individual's signature, name, passport number, and mobile number.

Uploaded by

criharsha
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Annex III

 
Undertaking
 
To,
 
Embassy of India, 
……………………………………..
 
Subject:  Consent  Form  for  evacuation  from  ………………………….(City, 
Country)
 
1.  I,  ………………………………...…………………  (name,  city,  country)  holding 
valid  Indian  passport  ………...…….  (passport  number),  confirm  my  willingness  to 
return to India. 
 
2.  I  confirm  my  readiness  to  follow  all  instructions  given  by  the  officials  of 
Government of India/Embassy of India/Aircraft crew/medical personnel on arrival.
 
3.  I  am  also  willing  to  undergo  a  14  days  mandatory  quarantine  on  my  arrival  in 
India at my own expense as per the protocols framed by the Government of India.
 
 
 
 
 
(Signature with date)
Name: …………………………………………………….
Passport Number:…………………………………
Mobile :…………………………….

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