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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. Train No Name Date of journey Class No of Berth/Seat Station from To Boarding at Reservation upto Name in Block Concession/TravelAuthority Choice S*No* letter not more than 15 Sex M/F Age No* if any chars Lower/Upper berth Veg. /Nonveg. Meal for Rajdhani/ Shatabdi Express Only CHILDREN BELOW 5 YEARS FOR WHOM TICKET IS NOT TO BE ISSUED S*No* Sex Age ONWARD/RETURN JOURNEY DETAILS 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. Train No Name Date of journey Class No of Berth/Seat Station from To Boarding at Reservation upto Name in Block Concession/TravelAuthority Choice S*No* letter not more than 15 Sex M/F Age No* if any chars Lower/Upper berth Veg. /Nonveg. Meal for Rajdhani/ Shatabdi Express Only CHILDREN BELOW 5 YEARS FOR WHOM TICKET IS NOT TO BE ISSUED S*No* Sex Age ONWARD/RETURN JOURNEY DETAILS 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. /Nonveg. Meal for Rajdhani/ Shatabdi Express Only CHILDREN BELOW 5 YEARS FOR WHOM TICKET IS NOT TO BE ISSUED S*No* Sex Age ONWARD/RETURN JOURNEY DETAILS 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. 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. Train No Name Date of journey Class No of Berth/Seat Station from To Boarding at Reservation upto Name in Block Concession/TravelAuthority Choice S*No* letter not more than 15 Sex M/F Age No* if any chars Lower/Upper berth Veg. /Nonveg. Meal for Rajdhani/ Shatabdi Express Only CHILDREN BELOW 5 YEARS FOR WHOM TICKET IS NOT TO BE ISSUED S*No* Sex Age ONWARD/RETURN JOURNEY DETAILS 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. .

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