Passenger Health Declaration COVID-19

 
Dear Guest, as per the regulations from DGCA and MoCA (Ministry of Civil Aviation) Government of India, this health declaration from passenger is mandatory. You are hence requested to fill up the details for every passenger travelling in this PNR.
 
PNR No
Contact Person*
Contact No*
Contact Email-id*
Route Info
Pax Details
 
 Tick the relevant box if either one of the Passenger meets the below mentioned criteria.
 
1.  I/we am/are not residing in any containment zone,
2.  I/we am/are not suffering from any fever/cough/any respiratory distress.
3.  I/we am/are not under quarantine.
4.  If I/we develop any of the above mentioned symptoms shall contact the concerned health authorities, immediately.
5.  I/we have not tested COVID-19 positive in last three weeks.
6.  I/we am eligible to travel as per the extant norms.
7.  I/shall make my mobile no / contact details available to the airlines whenever required by them.
8.  I/we understand that if I/we undertake the air joumey without meeting the eligibility criteria l/we would be liable to penal action.
9.  I/we undertake to adhere to the health protocol prescribed by the destination State / UT.
 
 My Address of stay at the destination city is as:-
 
Destination Address*
Destination Post code*
Emergency ContactNo *
 
  I hearby certify that the above information is correct to the best of my knowledge, if any health issue are found, I agree to abide by all the rules of Star Air or the regulatory authorities (DGCA / MoCA)