South Central Railway

RESERVATION/CANCELLATION Com.744/FHET
South Central Railway
RESERVATION/CANCELLATION Com.744/FHET
REQUISITION FROM (Rev) REQUISITION FROM (Rev)

If you are a Medical Practitioner, Please Tick (√) in Box (you could be of help in an Emergency)
If you want Sr.Citizen concession, please write Yes/No in box if Yes, Please carry a proof of
age during the journey to avoid inconvenience of penal charting under extant Railway Rules)
Do you want to be upgraded without any extra charge? Write YES/No in the box (If this option
is not exercise, full fare paying passengers may be upgraded automatically)
Train No. & Name: Date of Journey:
If you are a Medical Practitioner, Please Tick (√) in Box (you could be of help in an Emergency)
If you want Sr.Citizen concession, please write Yes/No in box if Yes, Please carry a proof of
age during the journey to avoid inconvenience of penal charting under extant Railway Rules)
Do you want to be upgraded without any extra charge? Write YES/No in the box (If this option
is not exercise, full fare paying passengers may be upgraded automatically)
Class: Train No. & Name: Date of Journey: Class:

No. of Berth/Seats: Station From: To: No. of Berth/Seats: Station From: To:

Boarding at: _____________________________ Reservation Upto:_______________________ Boarding at: _____________________________ Reservation Upto:_______________________
S Name in Block Letters Gen Age Concession/ Berth Choice Veg/Non-Veg. S Name in Block Letters Gen Age Concession/ Berth Choice Veg/Non-Veg.
No der Travel Authority Lower/Upper* for Rajdhani No der Travel Authority Lower/Upper* for Rajdhani
(not more than 15 Characters) M/F Shatabi Exp
No.
(not more than 15 Characters) M/F Shatabi Exp
No.
Only Only
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
Childern below 5 years (For whom ticket is not to be issued) Childern below 5 years (For whom ticket is not to be issued)
S.No Name in block letters Gender M/F Age S.No Name in block letters Gender M/F Age
1. 1.
2. 2.
Onward/Return Journey Details Onward/Return Journey Details
Train No. & Name:_______________________ Date of Journey: ____________ Class:_______ Train No. & Name:_______________________ Date of Journey: ____________ Class:_______
No. of Berths/Seats: _____ Station From_____________________ To:_____________________ No. of Berths/Seats: _____ Station From_____________________ To:_____________________
Name of Applicant: _______________________________________ Name of Applicant: _______________________________________
Full Address : _______________________________________ Full Address : _______________________________________
_______________________________________ _______________________________________
_______________________________________ ………………………… _______________________________________ …………………………
Signature of the Applicant / Signature of the Applicant /
Representative Representative
Tel./Mob.No. if any:____________________________ Date:_____________ Time:___________ Tel./Mob.No. if any:____________________________ Date:_____________ Time:___________
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For Official Use Only For Official Use Only
S.No. Requisition:________________________ PNR No._____________ Berth /Seat No.:_____ S.No. Requisition:________________________ PNR No._____________ Berth /Seat No.:_____
Amount Collected:___________________ Signature of Reservation Clerk Amount Collected:___________________ Signature of Reservation Clerk
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1. Maximum permissible passengers are 6 per requisition. 8. Maximum permissible passengers are 6 per requisition.
2. One person can give one requisition form at a time. 9. One person can give one requisition form at a time.
3. Please check your ticket & balance amount before leaving the window. 10. Please check your ticket & balance amount before leaving the window.
Note

Note

4. Forms not properly filled or illegible shall \not be entertained 11. Forms not properly filled or illegible shall \not be entertained
5. Choice is subject to availability. 12. Choice is subject to availability.
6. Passengers booked on single ticket may or may not get compact accommodation in the upgraded class. 13. Passengers booked on single ticket may or may not get compact accommodation in the upgraded class.
7. Pregnant women travelling alone may submit certificate from a Registered Medical Practitioner to be 14. Pregnant women travelling alone may submit certificate from a Registered Medical Practitioner
considered for lower berth separately earmarked. to be considered for lower berth separately earmarked.