Transcription of Railway reservation form - static.sunweb.co.in
1 Railway . Railway . reservation / cancellation REQUISITION FORM reservation / cancellation REQUISITION FORM. If you are a Medical Practitioner If you are a Medical Practitioner Please tick (? ) in Box Dr. Please tick (? ) in Box Dr. (You could be of help in an emergency) (You could be of help in an emergency). Train No. & Name ..Date of journey . Train No. & Name ..Date of journey . Class No. of Berth/Seats . Class No. of Berth/Seats . Station From To Station From To . Boarding at reservation upto . Boarding at reservation upto . Concession/ Concession/. S. Name in Block letters Sex Choice if S. Name in Block letters Sex Choice if Age Travel Age Travel No (not more than 15 letters) M/F any No (not more than 15 letters) M/F any Authority No. Authority No. 1. LB/UB 1. LB/UB. Berths Berths 2. 2. 3. 3. Non-Veg. Non-Veg. 4. Meal for 4. Meal for Rajdhani/ Rajdhani/. 5.
2 Shatabdi 5. Shatabdi Express Express 6. only 6. only ONWARD/RETURN JOURNEY DETAILS ONWARD/RETURN JOURNEY DETAILS. Train No. & Name Date .. Train No. & Name Date .. Class Station From .To . Class Station From .To .. Name of Applicant . Name of Applicant .. Full Address .. Signature of the Full Address .. Signature of the Applicant/Representative Applicant/Representative Telephone No., if any . Date Time Telephone No., if any . Date Time . FOR OFFICIAL USE ONLY FOR OFFICIAL USE ONLY. S. No. of Requisition .PNR No .. S. No. of Requisition .PNR No .. Berth/Seat No .Amount collected .. Berth/Seat No .Amount collected .. Signature of reservation Clerk Signature of reservation Clerk Note 1. Maximum permissible passengers is 6 per requisition. Note 1. Maximum permissible passengers is 6 per requisition. 2. One person can give one requisition form at a time. 2. One person can give one requisition form at a time.
3 3. Please check your ticket & balance amount before leaving the 3. Please check your ticket & balance amount before leaving the window. window. 4. Forms not properly filled in or illegible shall not be entertained. 4. Forms not properly filled in or illegible shall not be entertained. 5. Choice is subject to availability. 5. Choice is subject to availability.
