REGISTRATION FOR COVID-19 TESTING FOR PERSON ENTERING MEGHALAYA

Personal Details
First Name:*

Surname:*

Gender:*
Male Female Others

Date Of Birth:*

Age:*

Mobile Number:*
Email:

Purpose of Entry:*


*

Location of work site: *

Name of the Contractor: *

Name of Client:(Includes Government Department) *

Entry/Journey Date:*

Coming From:*
Foreign Country     Other States

State Coming From:*

Country Coming From:

How many Days do you intend to stay?*

From:
To:


Important: Symptomatic persons will need to undergo RT-PCR testing and mandatory paid quarantine. Hence, it is advisable that symptomatic persons should avoid traveling especially if it is for short duration.

District:*

Select Urban/Rural
Rural Urban

Select Municipal Board/Town Committee

Block:

Village/Town:

Locality:

Postal Address:*

Hotel: (For Paid Quarantine)*
Hotel booking confirmation to be presented at the entry gate

View List of Hotels →

Details of the Journey:

Transport Arrangement:



Flight No./Train No.:

Entry into Meghalaya from:*

Do You Have the following symptoms?
Fever
Yes No

Cough
Yes No

Breathing Difficulties
Yes No

Since when have you had these Symptons?

Note: Fields with * are Mandatory