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Railway Reservation Form

This railway reservation/cancellation requisition form collects passenger and journey details such as names, ages, classes, stations, and dates for booking train reservations as well as preferences for meals, berths, and concessions. It notes policies regarding medical practitioners assisting in emergencies, age proofs for senior citizen concessions, and potential upgrades when options are not exercised. The form is to be signed by the applicant and includes spaces for office use to record reservation numbers, berth/seat numbers, and amounts collected.

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Sunsea Mumbai
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331 views1 page

Railway Reservation Form

This railway reservation/cancellation requisition form collects passenger and journey details such as names, ages, classes, stations, and dates for booking train reservations as well as preferences for meals, berths, and concessions. It notes policies regarding medical practitioners assisting in emergencies, age proofs for senior citizen concessions, and potential upgrades when options are not exercised. The form is to be signed by the applicant and includes spaces for office use to record reservation numbers, berth/seat numbers, and amounts collected.

Uploaded by

Sunsea Mumbai
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 DOC, PDF, TXT or read online on Scribd
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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)

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 _______________________

To __________________

Boarding at ______________________

Reservation upto _____________________

S.No.

Name in Block letter(not more than 15


chars)

Sex(M/F)

Age

Concession/Travel
Authority No.

1.

Choice if any
Lower/Upper berth
Veg./Non-veg. Meal for
Rajdhani/ Shatabdi
Express Only

2.
3.
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 _______________________________________________________
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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