COVID-19 - Government of Odisha

Anyone who is travelling to Odisha by road is required to filling up the form.

Name of Lead Traveller *

S/OD/OW/O

Contact No(Mobile for OTP Purpose) *

Coming From State*

Name of Border Check Post*

Date of Travel (DD-MMM-YYYY)*

Vehicle Type* BUSLMVCARTWO WHEELERCYCLE

Vehicle Registration No*

District*

BlockULB *

GP / Ward Number*

Village*

Address*

Document Attached for Lead Traveller*

RT-PCR ReportVaccination CertificateNone

No. of fellow travellers with you*