VANDE BHARAT MISSION Phase 4                               Rome-Delhi (July 13 & July 19, 2020)                               Milan-Delhi (July 23, 2020)
Indian nationals residing in Italy desirous of returning to India on compelling reasons are requested to fill the form below.



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- Please note that form is personal and should be filled by each member of the family.

- Please do not fill the form more than once for the same individual

Email address *
Surname *
Name *
Passport Number *
Age *
Gender (Male/Female) *
Compelling Reason to return to India *
Category (Profession) *
Domicile in India State / UT *
Full Address in India *
Contact No. in India *
Present Address in Italy *
Contact No. in Italy *
Covid Test done *
Consent to Travel from Rome to Delhi on July 13 & 19, 2020 *
Consent to Travel from Milan to Delhi on July 23, 2020 *
Consent to remain in paid quarantine in India as per applicable rules & regulations *
Required
Before final submission, kindly re-check your details
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