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  • For any feedback or correction on Form, please go to Correction Support and enter your email, passport number and other details.
  • Fields in red color are mandatory. So only after submitting mandatory and correct detail, a email is automatically send with other information.
  • After submitting the form, a System Generated Bar Code is displayed, please take a screenshot (Win + PrtSc) or print it and keep it safely.
  • If you have already filled up this form and generated a bar code but want to correct some information in your detail then do not fill the form again but rather go to Correction Support for further assistance.
  • 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. Travelling Country

5. Future Return Plan to Nepal

6. 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 Travelling Country during my stay in Quarantine.
  • I will take utmost care to abide by the health directives of Government of Travelling Country to contain the possible spread of COVID 19 from me to the community.