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Travel Details
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Name
*
Your answer
IITG Roll no.
Your answer
Contact
Your answer
Webmail
Your answer
Are you coming from those 5 states
Madhya Pradesh, Punjab, Chattisgarh, Maharashtra or Kerala
Yes
No
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Gender
Female
Male
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Date of arrival
MM
/
DD
/
YYYY
Time of arrival
Hrs
:
Min
:
Sec
Mode of Travel
Flight
Train
Other:
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Number of accompanies
Excluding yourself
Your answer
Are they travelling with RTPCR report
Within 72 hrs from sample collection
Yes
No
Clear selection
Do you need bus service to travel to campus
Yes
No
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Submit
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