Reservation Cancellation Form IRCTC

 

Indian Railways : Reservation Cancellation Form Help

Reservation Cancellation Form

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.......................... RAILWAY CM257 Reservation/Cancellation Requisition Form

If you are a Medical Practitioner   Please tick ( ) in Box (You could be of help in an emergency)   Dr. If you want Sr. Citizen Concession, please write Yes/No in Box Selection Yes No (if yes, please carry a proof of age during the journey to avoid inconvenience of panel charging under extant Railway Rules) Do you want to be upgraded without any extra charge? Write Selection Yes No Yes/NO in the box. (if this option is not exercised, full fare paying passengers may be upgraded automatically) Train No & Name Date of journey Class 1A 2A 3A FC CC SL 2S Number of Berth/Seat 1 2 3 4 5 6 Station From To Boarding at Reservation upto

S.No. Name in Block Letters (not more than 15 letters) Sex(M/F) Age Concession/Travel Authority No. Choice (Lower / Upper Berth) Meals for Rajdhani/ Shatabdi Express 1. -- M F -- UB LB Selection Veg. Non Veg. 2. -- M F -- UB LB Selection Veg. Non Veg. 3. -- M F -- UB LB Selection Veg. Non Veg. 4. -- M F -- UB LB Selection Veg. Non Veg. 5. -- M F -- UB LB Selection Veg. Non Veg. 6. -- M F -- UB LB Selection Veg. Non Veg.

CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED) S.No. Name in Block Letters (not more than 15 letters) Sex Age 1. -- M F 2. -- M F

ONWARD/RETURN JOURNEY DETAILS Train No & Name Date of journey Class 1A 2A 3A FC CC SL 2S Station From To Name of applicant Full Address Signature of the Applicant/Representative ______________________ Telephone No., if any Date Time : : AM PM

FOR OFFICE USE ONLY S.No. of Requistion _______________________ PNR No. _______________________ Berth/Seat No. _______________ Amount collected ________________       ______________________ Signature of Reservation Clerk