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Reservation/Cancellation Requisition Form

The document is a Railway Reservation/Cancellation Requisition Form for medical practitioners, allowing them to assist in emergencies. It includes sections for train details, passenger information, and onward/return journey details. Key notes highlight restrictions on the number of passengers and requirements for form completion.

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soni7827868533
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328 views1 page

Reservation/Cancellation Requisition Form

The document is a Railway Reservation/Cancellation Requisition Form for medical practitioners, allowing them to assist in emergencies. It includes sections for train details, passenger information, and onward/return journey details. Key notes highlight restrictions on the number of passengers and requirements for form completion.

Uploaded by

soni7827868533
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

........................

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)

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)
1. Lower/Upper
2. berth

3. Veg./Non-
4. veg. Meal for
Rajdhani/
5. Shatabdi
6. Express Only

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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