PONNAIYAH RAMAJAYAM INSTITUTE OFSCIENCE & TECHNOLOGY

PRIST UNIVERSITY
Under Section 3 of the UGC Act, 1956

PUDUCHERRY
Application for Railway Concession Form for Students Going on Vacation
1.
2.
3.
4.
5.
6.
7.
8.

Name in BLOCK Letters

Roll Number
Course/Department/Year
Sex
Date of Birth
Age as on date
Home Town/Village
Native Place Address

9. Contact Number
10. Date of Completion of Exams
11. Outward journey
12. a) Inward journey
b) Name of the Railway
c) Booking Station

:.........................
:.
:
: Male/Female
:
:.
:.....................
:.
:.
:.
:.
:.
:.
: From Puducherry Railway Station on date ...
: From .Railway Station on date...
:.
:.

Signature of Student
SFS In charge

Head of The Department

For office use:

Concession Form No :...
Date of issue
Note:

:...

Railway concession will be issued to students only for visiting their Home Town during period of vacation and
not for any.
This proforma is to be filled in and handed over to the office at least 4 days before the expected date of booking
of the ticket.
Collect their completed Railway Concession form from office after 4 days from He/She submitted Application
for Railway Concession Form.
SC/ST students are required to submit copy of community/caste certificate.