Data for Indians stranded in north Italy
Indians stranded in north Italy in the wake of COVID-19 outbreak who are willing to return to India may fill the following form.
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Those who have already filled the registration forms published through our facebook page on 16 March and have received a call on 2-3 May from the Consulate to confirm the additional details need not to fill this form in order to avoid duplication.
Name and Surname *
Age in years *
Gender *
Passport Number *
Please enter all Eight characters of your Passport Number in the format N1234567, where N is the alphabet followed by the numerals
Email id *
Contact No in Italy *
Please add a ten digit contact number for Italy, without the international code +39
Current City in Italy *
Current region in Italy *
Purpose of visit in Italy *
Compelling Reason to Travel to India *
Please select a reason from the options available
Additional reasons *
Type of Visa / Stay Permit *
Name of Company/workplace/University in case of Professionals and Students *
Please write NONE if not applicable
Complete address in India *
State/ UT of Domicile/ residence in India *
Contact number for India *
Please add a ten digit contact number for India, without the international code +91
COVID Test done? *
Remarks or any additional information *
Please write None, in case no additional information is desired to be shared
Consent : I understand and acknowledge that if I choose to travel, the cost of travel (as specified by Ministry of Civil Aviation, India or Department of Military Affairs before the travel) would have to borne by myself. I am fully aware of the risks involved in travelling in the given COVID-19 situation and will be making the journey at my own risk. *
Required
UNDERTAKING : I also understand that upon arrival in India I would have to undergo mandatory institutional quarantine for a minimum period of 14 days at my own expense. I am fully aware that I may not be allowed to board the flight/ship if found symptomatic after the medical screening at the airport.
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