Self Declaration Form

All passengers must submit this form only once for their entire trip, even if they are travelling on multiple buses and flights.
The form must be filled within 24 hours prior to departure.

Do you have PDO Company No. / PDO MU ID *

Yes No

Company No. / MU ID eg(muXXXX) *

Resident ID No. / National ID No.*

Company Name*

Full Name *

Mobile Number *

Travel From *

Travel To *

Answer Yes if a, b or c applies to you *

a) Me or a member of my household is having fever, dry cough, breathing difficulty or significant tiredness and body ache.

b) I have come into a close contact with someone notified as having positive COVID-19, someone who is currently under quarantine or someone who was tested for COVID-19 and the result is still pending.

c) Currently I’m on quarantine related to travel and not yet tested.

Yes No

I confirm that:
I will take all the measures to ensure I practice and maintain required 1.5 meters physical distance as mandated in COVID19 induction. I am also comfortable that me and my family are practicing good hand hygiene.

I Acknowledge