Reservation / Cancellation Requisition Form (HTML)

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Indian Railways

Documents:

Reservation/Cancellation Requisition Form


.......................... 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 panel 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		Number of Berth/Seat
Station From		To
Boarding at		Reservation upto

S.No.	Name in Block Letters (not more than 15 letters)	Sex(M/F)	Age	Concession/Travel Authority No.	Choice (Lower/Upper Berth)	Meals for Rajdhani/Shatabdi Express
1.
2.
3.
4.
5.
6.

CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)
S.No.	Name in Block Letters (not more than 15 letters)	Sex	Age
1.
2.

ONWARD/RETURN JOURNEY DETAILS
Train No & Name	Date of journey		Class
Station From		To
Name of applicant		Full Address

Signature of the Applicant/Representative ______________________
Telephone No., if any	Date		Time	: :

FOR OFFICE USE ONLY
S.No. of Requistion_______________________	PNR No._______________________
Berth/Seat No._______________	Amount collected ________________

	______________________ Signature of Reservation Clerk

NOTE :

1.Maximum 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

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Reservation / Cancellation Requisition Form (HTML)