Office of District Collectorate(

DISTRICT - SIVAGANGA )

Rc.N/DM/6053/2020
Permit No: EPASS_TN/2020/465917 Dated : 04/05/2020
COVID - 19
EMERGENCY VEHICLE PERMIT
(Under Disaster Management Act, 2005)

Category: Public
1 Name of the Applicant : V SAMPATH
21b, kandramanickam,thiruppathur, Thiruppathur, SIVAGANGA -
2 Address :
630204
3 Aadhaar Number : xxxx xxxx 5108
4 Validity : 04/05/2020 to 05/05/2020
5 Journey Type : Round trip
6 Route : THIRUVALLUR to SIVAGANGAI
Vehicle No. TN10BC2952
7 :
Vehicle Model Four Wheeler/LMV
S. No. Name Age Mobile Number
Name of person(s)
1. AVANTHIKA 17 7358743852
travelling in the
8 vehicle, along with : 2. LAKSHIKA 14 7358743852
their age and mobile
3. MANJULA 43 7358743852
No.
4. V .SAMPATH 50 7358743852
9 Purpose : Medical
Conditions:
1 The above permit is issued owing to an emergency circumstance.
2 Persons / Vehicle will be allowed with original permit. Photocopies/of Vehicle.
3 The pass is valid for the above mentioned period and the said vehicle only.
Persons violating these containment measures will liable to be prosecuted as per the
4 provisions of Sec 51 to 60 of the Disaster Management Act 2005 besides legal action under
Sec – 188 of IPC.
5 This epass is liable to be cancelled if the epass holder is from containment zone.
NOTE: The persons travelling must confine themselves to home quarantine for 14 days on return to

Reference No: EPASS_TN/2020/465917 To View: http://serviceonline.gov.in/tamilnadu/t/qs3/55DE815B Token No: 55DE815B

 NOTE: The persons travelling must confine themselves to home quarantine for 14 days on return to
the district.

Collector

SIVAGANGA
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Reference No: EPASS_TN/2020/465917 To View: http://serviceonline.gov.in/tamilnadu/t/qs3/55DE815B Token No: 55DE815B