Signature of the passenger *AS NOTIFIED BY W.H. Respiratory distress Yes No While all incoming international passengers will be screened at the Airport Health Counters, for persons having travel history to China, Hong Kong, Republic of Korea, Italy, Iran, Japan and other Covid-19 affected countries* or contacts with people having such travel history (in last 28 days) are requested to ensure that they mention such details at the Health Counter specifically.Are you suffering from any of the following symptoms Details of the cities / countries visited since last 28 days?.
Ministry of Health and Family Welfare Government of India (PART-A) 1.
SELF REPORTING FORM TO BE FILLED BY ALL INTERNATIONAL PASSENGERS (TO BE PRESENTED AT THE HEALTH & IMMIGRATION COUNTER) All passengers coming to India are required to fill-up this proforma in duplicate & submit a copy each to the Health and Immigration counter.
