ServicePlus- Covid19 Stranded Person Registration

UNION TERRITORY OF LAKSHADWEEP
DISASTER MANAGEMENT AUTHORITY

Registration Portal for Residents of Lakshadweep stranded at Mainland

Please read and comply instructions below

This portal is intended for residents and employees of Lakshadweep stranded at mainland during Covid19 Pandemic Lockdown

The portal registration is intended for data collection of natives of Lakshadweep and as such does not guarantee any travel priorities or privileges

Please provide factual and complete data as indicated in the form

Please provide the details below

Full Name *

Category *

Mobile Number *

E-Mail

Present Address in Mainland *

Reason for Travel *

State where currently Stranded *

District of the Stranded State *

Address Details in Lakshadweep

Select Resident Island *

Complete Permanent Address in Lakshadweep *

Answer the following questions

Have you installed ArogyaSetu App on your mobile? *

Yes

No

Are you coming from a place declared are Covid19 Hotspot *

Yes

No

Declaration

I hereby declare that details submitted above are true and correct to the best of my knowledge and belief and I undertake that if anything is found untrue I shall be liable for punishment/penalty as per law.

I declare that I am not currently residing in a containment zone.

I declare that I have not been placed under home quarantine by authorities at the current place of my residence.

I declare that I have not been found to be COVID-19 positive by the authorities.

I Agree *

Yes

Additional Details

Applied to the Office*

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UNION TERRITORY OF LAKSHADWEEP DISASTER MANAGEMENT AUTHORITY