COVID-19 - Government of Odisha

* (Indicated fields are Mandatory)

Personal Information

Select Reason *

Name of Vehicle Owner *

Mobile No. *

Enter 10-digit mobile number without adding 0 or +91

Email of Vehicle Owner *

Driver Details

Are you the Driver? Yes No

Name of the Vehicle Driver *

Mobile No. *

Enter 10-digit mobile number without adding 0 or +91

Vehicle Details

Type *

Vehicle Registration Number *

Sitting Capacity *

Travel Details

Planned Date of Journey *

Time of Departure *

From District*

Taluka or Municipality*

Destination *

Passenger Details (Enter the details of all those traveling including the driver)

Sl#	Name	Mobile Number
1

N.B.: Carrying Govt. recognized ID proof during travel is mandatory for all passengers

I declare that the information provided by me is accurate and to the best of my knowledge. I agree to abide by the government guidelines on maintaining social distancing and other COVID19 related norms. I shall carry

Registration portal for persons desirous to travel out of Odisha.

Personal Information

Driver Details

Vehicle Details

Travel Details

Passenger Details (Enter the details of all those traveling including the driver)