Embassy of India - Information Collection Sheet
* The purpose of this form is only for collection of information of Indian nationals wanting to travel to India in special repatriation flights under Vande Bharat Mission.
* All rules and regulations of Government of Oman on departure and Government of India on arrival will need to be strictly followed, especially those related to COVID-19.
* This form is to be filled for a single individual at a time. For addition of details of family members, you are requested to fill the form again.
Name *
Age (in Years) *
Gender *
Passport Number *
Compelling Reason for Travel to India *
Category *
Domicile in India (State / UT) *
Full Address in India *
Contact Number (Oman) [Please write without +968] *
Contact Number (India) [Please write without +91, In case not available, please write X] *
Status of COVID-19 Test *
Remarks (Details of Reason for Travel to India) *
Home City in India *
Nearest International Airport from your home city in India *
Present Address (City in Oman) *
E-mail *
Purpose of Visit to Oman (Visa Type) *
Expiry of Visa
MM
/
DD
/
YYYY
Oman Residence Id / Visa No. *
Profession / Skill (Example - Doctor, Engineer, Electrician etc.) *
Undertaking cum Indemnity Bond

To,

Embassy of India
Muscat, Oman


Subject: Consent Form for Repatriation from Oman

1. I hereby confirm my willingness to return to India in accordance with the terms of the Embassy.

2. I confirm my readiness to follow all instructions given by the officials of Government of India/ Embassy of India/ Aircraft crew/ medical personnel on arrival.

3. I am willing to pay for the travel expenses.

4. I am willing to undergo a 14 days mandatory quarantine on my arrival in India at my own expense as per the protocols framed by the Government of India.

5. I fully understand that while traveling in the special repatriation flight / Indian Naval ship I may be inadvertently exposed to any infection, including COVID19 virus, and having fully understood the risk to my person, I voluntarily give consent to travel to India in the special repatriation flight / Naval ship. I undertake and agree that neither I nor my heirs nor my executors nor administrators will hold responsible Union of India, any official of Union of India or staff of airline/naval ship or any of my fellow passengers for any injury to me (including death) or loss of property due to any accidental exposure.
I agree to the above undertaking *
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