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DDN Janshatabdi 12055: Tatkal

This document is a railway reservation/cancellation requisition form for the Tatkal system. It contains details of a passenger named Umesh Prasad requesting reservation from Dehradun to Gorakhpur on the Jan Shatabdi train departing on January 31st, 2014, including his address, phone number, and other identification information. The form also includes spaces for additional passengers and notes instructions for filling out the form correctly.

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Umesh Prasad
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66 views

DDN Janshatabdi 12055: Tatkal

This document is a railway reservation/cancellation requisition form for the Tatkal system. It contains details of a passenger named Umesh Prasad requesting reservation from Dehradun to Gorakhpur on the Jan Shatabdi train departing on January 31st, 2014, including his address, phone number, and other identification information. The form also includes spaces for additional passengers and notes instructions for filling out the form correctly.

Uploaded by

Umesh Prasad
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
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........................

RAILWAY
CM257
RESERVATION/CANCELLATION REQUISITION FORM
TATKAL

If you are a Medical Practitioner


Please tick ( ) in Box
(You could be of help in an emergency)

Dr.

DDN JANSHATABDI

31.01.2014
Train No & Name ___________________
Date of journey______________________
12055
Class ____________________________
No of Berth/Seat_______
CC
1
Station from _______________________
To __________________
GZB
DDN
DDN
Boarding at ______________________
Reservation upto _____________________
GZB

DL NO. UA-0720010196536

Name in Block
Concession/TravelAuthority Choice
S.No. letter(not more than 15 Sex(M/F) Age
No.
if any
chars)
1.
Lower/Upper
UMESH PRASAD
M
46
berth [ W ]
2.
3.

Veg./Nonveg. Meal for


Rajdhani/
Shatabdi
Express Only

4.
5.
6.

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 _______________________________________________________
UMESH PRASAD, 28, LANE 3, VYOMPRASTH PH-1, GMS ROAD
Full Address ___________________________________________________________
DEHRADUN
______________________________________________________________________
____________________________________________________________________
Signature of the Applicant/Representative
Telephone No., if any _______________________
Date __________Time
__________
9412992911
30.01.14

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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