Form for supplementary information

Embassy of India

Washington DC


Form for supplementary information

As per the press release issued by Ministry of Home Affairs on 4 May 2020, Government of India will be facilitating the return of Indian nationals stranded abroad on compelling grounds in a phased manner. Details may be seen at Click Here

The purpose of this form is only to collect relevant information for planning purposes by the Government of India. The Embassy/Consulate will inform you about the commencement of flights from US to India. Incomplete forms will not be considered.

* Required

I. Name (as in Passport) *
II.Date of Birth*
III.Passport No*

IV. In case of any flights arranged from the U.S. to India, I agree to:*
  • Undergo a 14-day mandatory quarantine, either in a hospital or in an institutional quarantine on payment-basis, on my arrival in India as per the protocols framed by the Government of India;
  • Bear the expenditure of travel and mandatory quarantine for self and family members;
  • Abide by the instructions and requirements as detailed by the crew of the flight/Embassy or Consulate/Government of India/ medical personnel before, during and after boarding of the flight, and also after disembarkation at the designated airport in India; and
  • Submit the undertaking as provided at (Download Undertaking Form), to authorized Embassy/ Consulate staff before boarding the flight.
  • Register on the Aarogya Setu App on reaching destination.
I hereby give my consent to abide by the above mentioned terms.*
Have you undergone COVID-19 test? *
Details of family members travelling with you *