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  • For Flight traveller, fill the form after flight ticket is confirmed and PCR report is collected.

1. Personal Details

2. Family Details

3. Travel History (Past 30 Days)

From To Mode of Travel Flight/Vehicle No. Date Action

4. Current Resident Country

5. Future Travel Plan in Nepal

6. Quarantine Details

7. Health Information

For Ladies only

Self-Declaration

  • The above information is correct and I am subject to legal consequences if found otherwise.
  • I will abide by the health directives issued by Government of Nepal during my stay in Quarantine.
  • I will take utmost care to abide by the health directives of Government of Nepal to contain the possible spread of COVID 19 from me to my community.
  • If I have chosen Hotel Quarantine, I am willing to pay for all my expenses during my stay there.