RTC-106/Revised

ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

REQUISITION FORM FOR RESERVATION / PREPONEMENT/
POSTPONEMENT/CANCELLATION/RETURN JOURNEY TICKET
Date of Journey: ____________________
Service No. : ____________________ Time of Departure : _______________
From (Boarding) : __________________ To (Destination) : _______________
No. of Full Tickets : (
)
No. of Half Tickets : (
)
Name

Age

Sex (M/F)

1)
2)
3)
4)
Type of concession claimed (if any) ________________________________________
For Preponement / Postponement / Cancellation of Journey
From Date : (
)
To Date : (
)
Seat Nos. : ________________________
For return Journey Ticket :
Choice of return Journey : Day (

) Night (

Name and Address: ___________________________________________________

_____________________________________________ Ph. No.________________
Date: _____________________ Signature ________________________________
(For Office use only)
Seat Nos. Allotted __________________ Signature of B.C. __________________
Siganture of Supervisor __________________________________
(Incase of pre/postponement / cancellation of journey only)
(Space for advertisement)
For advertisement in this place
please contact

CHIEF COMMERCIAL MANAGER, APSRTC

MD's OFFICE, MUSHEERABAD,
HYDERABAD-500 020. A.P.

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