Form for Travelers returning to Bhutan
The Ministry of Health (MoH), Royal Government of Bhutan requests all those returning from abroad to fill up this form. Travelers entering Bhutan are requested to provide the required information to ensure no medical threat to yourself and others. This is also to ensure timely intervention by the medical team in times of need.

Should anyone have difficulty in filling out this form, you are advised to fill up excel sheet or google sheet of the same information and send it by email to pgurung@health.gov.bt or else get in touch at +975-17123205
Full Name: *
Your answer
Passport No/CID No/SRP: *
Your answer
Age: *
Your answer
Occupation/College/School: *
Name of Office, College or School depending on answer above? *
Your answer
Date of planned arrival in Bhutan: *
MM
/
DD
/
YYYY
Where are you coming from? *
Your answer
Place of arrival/entry to Bhutan (Phuntsholing Gate/Paro Airport/SamdrupJongkhar Gate/Samtse Gate/Gelephu Gate)
Your answer
Mode of entry into Bhutan: *
Purpose of returning to Bhutan:
Your answer
Any history of medical illness:
Your answer
Contact Name of dependent in Bhutan (of parent's, sibling's, children's, friend's or spouse): *
Your answer
Contact No of dependent in Bhutan: *
Your answer
Email ID: *
Your answer
Contact number of (WhatsApp) place of current stay (outside Bhutan: *
Your answer
Residential address in Bhutan (Area, Chiwog/Gewog/Dzongkhag): *
Your answer
Address abroad (Current): *
Your answer
Flight No/ Vehicle No and time of travel: *
Your answer
History of Travel (Places you are coming from or visited?
Your answer
Remarks (If any)
Your answer
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