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IRCTC Registration Form

This document is an IRCTC registration form for a Retail Outlet (RO) agent. It requests information such as the RO number, company name, owner name, contact details, address, PAN card number, and details of the Retail Management Unit the RO reports to. The RO must also submit copies of the registration form, a photo, address proof, and PAN card in electronic format for verification as part of the registration process with IRCTC. The RO declares the information provided is correct and acknowledges responsibility if any details are found to be incorrect.

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Dharmavir Singh Gautam
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
291 views

IRCTC Registration Form

This document is an IRCTC registration form for a Retail Outlet (RO) agent. It requests information such as the RO number, company name, owner name, contact details, address, PAN card number, and details of the Retail Management Unit the RO reports to. The RO must also submit copies of the registration form, a photo, address proof, and PAN card in electronic format for verification as part of the registration process with IRCTC. The RO declares the information provided is correct and acknowledges responsibility if any details are found to be incorrect.

Uploaded by

Dharmavir Singh Gautam
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IRCTC Registration Form

RO Number:
Company Name:
Owner Name: (First Name - Middle Name Last Name)
Marital Status: Single / Married
Contact No.: (First number of customer should be a Mobile Number)
(Not registered with IRCTC)

Contact Number: (Residence Number)
E Mail Id.: (Not registered with IRCTC)
Machine ID / HDD ID/BIOS Serial no: (Physical ID of computer / Laptop)
Address1: (Where RO is taking the agency)
Address 2: (Where RO is taking the agency)
City:
State:
Pin Code:
PAN Card No.:
RMU Number: (Under whom he need to mapped)
RMU Name: (Under whom he need to mapped)
Note: The above information should be complete. RO also need submit following document in
electronic format to process his request for IRCTC registration.
1. Copy registration form
2. Photo (Recent Photograph)
3. Address Proof (For the same where he is taking the agency)
4. PAN Card copy
I hereby declare that above mentioned information is correct as per my knowledge and I shall take a
full responsibility if this is found in correct.
Date:
Place:
Signature
___________________
(Full Name)

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