Transcription of APPLICATION FORM FOR RESERVATION OF …
1 APPLICATION FORM FOR RESERVATION OF ACCOMMODATION IN THE HOLIDAY HOME AT of the employee2 Employee Number3 Designation4 Ticket or Group-D6 Pay Unit7 Place of work8 Residential Address9 RESERVATION required From .. To10 State if accommodation will be accepted at short notice if accommodation is not available for the dates applied forYES/NO11 Whether leave is sanctioned for the above periodYES/NO12 State if alternative dates are acceptable in case accommodation is not available for the dates applied if accommodation in the above Holiday Home was availed in the previous years? If yes, state the of Appointment15 Rate of Pay16 Privilege Pass hereby certify that I/We am/are not suffering from any contagious or infectious have not applied for allotment of suite in the convalescent of family members/close relatives/indicating names of individuals, relationship to the applicant, age, dependency etc.
2 , for whom the Holiday home is Signature of the to Welfare OfficerSignature of SS/OSLocationNo. of suitesAddress to whom applications should be addressedGroup A & BGroup C & DCentral , CST Mumbai--9 DRM(W), CST Mumbai2 Lonavala--3 DRM(W), CST Mumbai--4PA/DRM, CST Mumbai3 Igatpuri--2 DRM(W), CST Mumbai4 Mahabaleshwar4--DGM (G).--16 (P), (W), CST Mumbai7 Baidyanath Dham--6 CPO, , Kolkatta8 Puri210-do-9 Darjeeling34-do-10 Nainital47-do-11 Haridwar36-do-Northern Railway12 Shimla713 (C)2 (D)AEN/NR/Ambala2 (A)1 (B)4 (C)1 (D)Secretary,Railway (B)2 (C) Paprola2 (B)2 (C)IOW/Palampur15 Manali3 (A)2 (B)--DRM/Firozpur Cant. Jn1 (B)--Secretary, Rly. Board16 Haridwar--2 DRM/NR/Moradabad17 Nainital22 (C)1 (D)Secretary, Railway Board18 Mussoorie22 four bedded dormitoriesDSE (C), Moradabad19 Badrinath22 DSE (C), MoradabadNorth Eastern Railway20 Nainital1410 DRM/G, APO(W) & City--3 AEN or APO(W)/ NE Rly.
3 , VaranasiNortheast Frontier bedded dormitoryAEN/NF Rly., Siliguri at Darjeeling2--Secy. to GM, NF Rly, (Subordinate)--4-do-28 Nainital11-do-Southern Railway29 Madurai--5 of suitesAddress to whom applications should be addressedGroup A & BGroup C & D35 Udagamandalam(Ooty)--8-do-South Central Railway36 Kolva Beach (Vascodagama) (Rly. Station) ,Guntakal38 Aurangabad (Rly. Station)22Sr. DPO/ SCR, Eastern (W)/Garden Reach, (G)--2 Suites + 4 bedded dormitoryDPO (I)/Kharagpur bedded Railway44 Agra (Idgha)--4 DRM (E), Kota45 Pali Hill, Bandra (Mumba)--8 (C)2 (D)DRM (E), Mumbai Central46 Lonavala--2-do-47 Udaipur--14 DRM (E), Ajmer--2 SPO (W), Churchgate48 Mount Abu4--3 under PA/CE 1 under DRM/Ajmer--13 DRM(E), Ajmer2 SPO (W), Church (Gujarat)--4 DRM (E), Bhavnagar50 Dwarka (Gujaraj)--3 DRM (E), Rajkot--1 SPO (W), Churchgate51 Gholvad3--DRM/ Mumbai Central52 Convalscent Home.
4 Bandra--2 (C)1 (D)SPO/W/Church Western Railway53 Jaipur--4 DRM (E), JaipurWest Central , JabalpurSouth Western Railway55 Mysore ( )--5 DPO, Coach Factory, Chennai56 Udagamandalam(Ooty)--4 Welfare Coach Factory, Locomotive Works, Chittaranjan58 Puri--2 CPO/CLW, ChittaranjanDiesel Locomotive Works, Varanasi59 Nainital1--Secy. to GM/DLW60 Puri11 Secy. to GM/DLWNote:1. (C) means Group-C and (D) means Unless specified, the Suites under Column-2 are both for Group-A and B and under Column-3 for both Group-C and D.
