ServicePlus- Issuance of e-Pass for people movement

GOVERNMENT OF NAGALAND

APPLICATION FORM FOR ePASS FOR INTER STATE VEHICULAR MOVEMENT

Maximum of 4 passengers would be allowed for LMV Type Vehicle [ Inclusive of Driver ]
Maximum of 10 passengers would be allowed for Medium Type Vehicle [ Inclusive of Driver ]
Maximum of 25 passengers would be allowed for Bus [ Inclusive of Driver ]

Enclosure Required
1. Identity Proof of all Passengers [Govt Issued ID Card/Government Passport/Birth Certificate/Indigenous Certificate/Institution Identity card issued by Head of the Institution/Residency Certificate]Certificate]
2. Driving Lisence for Driver

For Citizens opting for Institution Identity Card and Residency Certificate while uploading annexures, following Information are Mandatory for Approval of the ePass.
a. Institutional ID CARD : Name of the Head Of Institution and Mobile No
b. Residency Certificate : Name of the Colony / Ward/ Village authority and Mobile No

ePASS Specific Details

Type of ePass Applied for? *

Inter State

Category of Inter State Movement *

Application Submission Location *

Application Details

Applicant's Name *

Mobile Number(A) *

E-Mail (Pass would be sent to this mail once issued)

Service Specific Details

Purpose for applying ePass *

Short Description as to why ePass is required *

Source State *

City | Village | Town *

Vehicle Type *

Vehicle Registration Number *

Vehicle Model/Description *

Proposed Date of Journey *

District *

Destination Complete Address *

Point of Entry *

Details of Passengers [ Enter the detail of the driver also]

Passenger Details *

Full Name *

Mobile Number *

Full Name *

Mobile Number *

Total number of passengers [Inclusive of Driver]

Declaration

I hereby certify that all information provided by me in this application form is true to the best of my knowledge and that I shall be held solely responsible for any incorrect / false / misleading information provided by me through this application
I agree to be institutionally quarantined for a period of 21 days at a Quarantine Centre identified by the Government of Nagaland.
On arrival in the State, I agree to download and register myself on the nCOVID Self Declaration App and the Aarogya Setu App.
On arriving Nagaland, the returnee shall not be allowed to leave the State for any reason whatsoever, until the lockdown is completely lifted.

I Agree *

Additional Details

Applied to the Office*

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