Railway Ticket Reservation Form
Here is the Railway Ticket Reservation Form for users to print out and fill and submit in the reservation window. ........................ RAILWAY CM257 RESERVATION/CANCELLATION REQUISITION FORM If you are a Medical Practitioner Please tick ( ) in Box Dr.  (You could be of help in an emergency) 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 _____________________
CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)
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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