Delhi Disaster Management Authority

Form for Collecting Information of Delhiites Stranded Abroad
(केवल विदेश में फंसे हुए दिल्लीवासियों के लिए)

 
Helpline No.(1)   +91-9555363032 (9:00 AM to 2:00 PM IST)
Helpline No.(2)   +91-9717999263 (2:00 PM to 6:00 PM IST)
Assistance only, if any difficulty in filling up the form.
 
 
01. Name
02. Age
03. Sex
04. Country of Current Residence
05. Current Address Abroad
06. Type of VISA
07. VISA Expiry Date
08. Purpose of Visit Abroad
09. Occupation in Delhi
10. Any Medical Condition / Ailment
11. Corona/ Influenza like illness
12. Residential Address in Delhi
13. Mobile No. (Self)
14. Email ID
15. Any Contact in Delhi
   
16. Passport No.
17. Photo of the passport page carrying your photo (Below 100KB)
18. Remarks (Not more than 100 characters)
Processing, Please wait....
 
© 2020, Delhi Urban Shelter Improvement Board
Govt. of NCT of Delhi