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SOUTHERN RAILWAY
APPLICATION FOR EMERGENCY QUOTA
(RECOMMENDED BY RAILWAY OFFICIALS)
Train No. 12634
Date of Journey 12.12.2022
From /To NCJ-MS

Class
2A

No. of Berths/Seat 1

PNR No. 4552163314


Name of the Passenger A. SivaPriya , DISTRICT REVENUE OFFICER, K.K. DIST
Address : 39/11A-6,T.D Road, Nagercoil

Ph. No./Cell No. 9944262323

Special Reason ON- DUTY, DISTRICT REVENUE OFFICER, TN


GOVT
I certify that I am fully aware of the entitlement regarding allotment of accommodation through Emergency Quota
and I certify the eligibility and attest the Identity of the passengers for allotment of accommodation from Emergency
Quota. I, hereby, undertake full responsibility of passenger’s credentials for whom I am recommending for
allotment of berth(s).

Particulars of Railway Officers


Name : E.Bamila IRSE
Grade : JAG
Designation : Dy.CE/II/CN/TVC
Office: Dy.CE/CN/TVC ELIEZAR Digitally signed by
ELIEZAR BAMILA
Mob:9746745031 BAMILA Date: 2022.12.12
10:31:58 +05'30'

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