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    Railway Reservation Form

    Uploaded by

    ashoksah
    This document is a railway reservation/cancellation requisition form that collects information such as passenger names, age, gender, concessions needed, train details, boarding and destination stations, berth/seat preferences, and signature for a railway reservation. It provides instructions for medical practitioners, senior citizens, meal preferences, and notes on filling out the form properly and availability of requests. The form collects all necessary information to process reservations on Indian railways.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Railway Reservation Form

    Uploaded by

    ashoksah
    4K views1 page
    This document is a railway reservation/cancellation requisition form that collects information such as passenger names, age, gender, concessions needed, train details, boarding and destination stations, berth/seat preferences, and signature for a railway reservation. It provides instructions for medical practitioners, senior citizens, meal preferences, and notes on filling out the form properly and availability of requests. The form collects all necessary information to process reservations on Indian railways.

    Original Title

    7384496 Railway Reservation Form

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    © Attribution Non-Commercial (BY-NC)

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    This document is a railway reservation/cancellation requisition form that collects information such as passenger names, age, gender, concessions needed, train details, boarding and destination stations, berth/seat preferences, and signature for a railway reservation. It provides instructions for medical practitioners, senior citizens, meal preferences, and notes on filling out the form properly and availability of requests. The form collects all necessary information to process reservations on Indian railways.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views1 page

    Railway Reservation Form

    Uploaded by

    ashoksah
    This document is a railway reservation/cancellation requisition form that collects information such as passenger names, age, gender, concessions needed, train details, boarding and destination stations, berth/seat preferences, and signature for a railway reservation. It provides instructions for medical practitioners, senior citizens, meal preferences, and notes on filling out the form properly and availability of requests. The form collects all necessary information to process reservations on Indian railways.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    RAILWAY RESERVATION / CANCELLATION REQUISITION FORM

    If you are a Medical Practitioner Please tick ( ) in Box Dr. (You could be of help in an emergency)
    If you want Sr. Citizen concession, please write Yes/No in box (if yes, please carry a proof of age during the
    journey to avoid inconvenience of penal charging under extant Railway Rules)
    Do you want to be upgraded without any extra charge? Write Yes/No in the box. (If this option is not
    exercised, full fare paying passengers may be upgraded automatically)
    Train No & Name: Date of Journey:
    Class: No.of Berth / Seat:
    Station From: Station To:
    Boarding At: Reservation Upto:
    S.No. Name in Block Letters Sex Age Concession Choice if any
    (not more than 15 chars) (M/F) / Travel
    Authority
    No.
    Lower / Upper
    Berth

    Veg / Non-veg
    Meal for
    Rajdhani /
    Shatabdi
    Express only
    CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)
    S.No. Name in Block Letters Sex Age

    ONWARD / RETURN JOURNEY DETAILS

    Train No & Name ____________________________________ Date ______________________________


    Class ________________ Station From _______________________ To ___________________________
    Name of Applicant ______________________________________________________________________
    Full Address ___________________________________________________________________________
    Telephone No: ___________________________Date ______________________ Time _______________

    Signature of the Applicant

    FOR OFFICE USE ONLY

    S.No. of Requisition__________________________ PNR No.____________________________________


    Berth/Seat No.______________________________ Amount Collected ____________________________

    Signature of Reservation Clerk

    Note: 1. Maximum permissible passengers are 6 per requisition.


    2. One person can give one requisition form at a time.
    3. Please check your ticket and balance amount before leaving the window.
    4. Forms not properly filled or in illegible forms shall not be entertained.
    5. Choice is subject to availability.

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