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Railway Reservation Requisition Form

This document is a railway reservation/cancellation form containing details needed to book train tickets. It requests information such as the applicant's name, age, sex, concession eligibility, train details with departure and arrival stations/dates, meal preferences, and onward/return journey details. It also notes rules like a maximum of 6 passengers per form and ensuring tickets are checked before leaving the reservation window.

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gudapatisunil
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119 views1 page

Railway Reservation Requisition Form

This document is a railway reservation/cancellation form containing details needed to book train tickets. It requests information such as the applicant's name, age, sex, concession eligibility, train details with departure and arrival stations/dates, meal preferences, and onward/return journey details. It also notes rules like a maximum of 6 passengers per form and ensuring tickets are checked before leaving the reservation window.

Uploaded by

gudapatisunil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Reservation Form

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........................ RAILWAY
CM257
RESERVATION/CANCELLATION REQUISITION FORM
If you are a Medical Practitioner
Please tick ( ) in Box
(You could be of help in an emergency)

Dr.

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)
Train No & Name ___________________ Date of journey______________________
Class ____________________________ No of Berth/Seat_______
Station from _______________________ To __________________
Boarding at ______________________ Reservation upto _____________________
[Link].

Name in Block letter(not more


than 15 chars)

Sex(M/F)

Age

Concession/TravelAuthority
No.

1.

Choice if any
Lower/Upper
berth

2.
Veg./Non-veg.
Meal for
Rajdhani/
Shatabdi Express
Only

3.

4.

5.

6.

CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)


[Link].
Name in Block Letters

Sex

Age

ONWARD/RETURN JOURNEY DETAILS


Train No. & Name________________________ Date ________________________
Class ________ Station from:___________________ To________________________
Name of applicant _______________________________________________________
Full Address ___________________________________________________________
______________________________________________________________________
____________________________________________________________________
Signature of the Applicant/Representative
Telephone No., if any _______________________ Date __________Time __________

FOR OFFICE USE ONLY


[Link]. of Requistion_______________________ PNR No._______________________
Berth/Seat No._______________ Amount collected _____________________________
_________________________
Signature of Reservation Clerk

Note : [Link] permissible passengers is 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

Print

[Link]

5/20/2011

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