e-Pass

Fill Your Details

e-Pass is being issued for those who are engaged in providing essential services like health, manufacturing, transport, storage, shops, banking, media persons. Others kindly DO NOT submit this form, except in medical emergency. Submit valid supporting documents otherwise application will be rejected..

State*

From District*

To District*

Name*

Mobile No*

Address*

Id Type*

ID Number*

Road Map*(Like: Kalidas road to Ghantaghar)

Vehicle Type*

Vehicle Number

From Date*

To Date

Reason*

I hereby declare that the above information is true to the best of my knowledge.
I shall comply with the provisions in law and be liable for criminal action for furnishing incorrect/ false information.
I will produce the relevant/ original documents, as and when desired by the concerned authorities.