Self declaration for traveling during lockdown can be prepared on a white paper as mentioned below. Please note that violation of lockdown and self-declaration is an offence.
| I, ………………………………………………………. (Name) residing at, ………………………………………………………. ………………………………………………………. ………………………………………………………. (Address) is traveling in vehicle number …………………………………. (Scooter / Motor Cycle / Car / SUV/ ……………………………..). I am going alone / along with ………………………………………………………. ………………………………………………………. ………………………………………………………. to ………………………………………………………. (Place) for the purpose of ………………………………………………………. which is unavoidable. I will return back on ………………………………. Date: ………………………………………… Signature: …………………………………….. Place: ……………………………………….. Name: …………………………………………… Time: ……………………………………….. Mobile Number: …………………………… |
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