Form Cm257 - Reservation/cancellation Requisition Form printable pdf download

Form Cm257 - Reservation/cancellation Requisition Form

........................ RAILWAY

CM257

RESERVATION/CANCELLATION REQUISITION FORM

If you are a Medical Practitioner

Please tick ( ) in Box

Dr.

(You could be of help in an emergency)

Train No & Name ___________________ Date of journey______________________

Class ____________________________ No of Berth/Seat_______

Station from _______________________ To __________________

Boarding at ______________________ Reservation upto _____________________

Name in Block

Concession/TravelAuthority

Choice

S.No.

letter(not more than 15

Sex(M/F) Age

No.

if any

chars)

Lower/Upper

berth

Veg./Non-

veg. Meal for

Rajdhani/

Shatabdi

Express Only

CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)

S.No.

Name in Block Letters

Sex

Age

ONWARD/RETURN JOURNEY DETAILS

Train No. & Name________________________ Date ________________________

Class ________ Station from:___________________ To________________________

Name of applicant _______________________________________________________

Full Address ___________________________________________________________

______________________________________________________________________

____________________________________________________________________

Signature of the Applicant/Representative

Telephone No., if any _______________________ Date __________Time __________

FOR OFFICE USE ONLY

S.No. of Requistion_______________________ PNR No._______________________

Berth/Seat No._______________ Amount collected _____________________________

_________________________

Signature of Reservation Clerk

Note : 1.Maximum permissible passengers is 6 per requisition.

2. One person can give one requisition form at a time.

3. Please check your ticket and balance amount before leaving the window.

4. Forms not properly filled or in illegible forms shall not be entertained.

5. Choice is subject to availability

Form Cm257 - Reservation/cancellation Requisition Form

Related Articles

Related forms

Related Categories