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Application Format

 

Download 

I)Proforma for requisitioning a Special Coach/Train

 

                   CENTRAL RAILWAY

 

General Manager (Operations),                                                Date:  /  /2011
Central Railway, HQ Office,

CST, Mumbai-400 001.

 

1.Name (In block letter):__________________________

 

2. Full Postal Address :__________________________

__________________________

__________________________

 

3. Tele.No.and Mobile:__________________________

4. Purpose of Journey:__________________________

5.Type and No. of

Coaches required :__________________________

6.   Amount deposited

7.Details of Money

Receipt(No. & Xerox):__________________________

8.Station where money

deposited:__________________________

9. Itinerary:

(I) Outward Journey

a)Station:__________________________

b)Date:__________________________

c)From/To:__________________________

d)Train Particulars:Name_____________No._____

(II)Return Journey)

a)Station:__________________________

b)Date:__________________________

c)From/To:__________________________

d)Train Particulars:Name_____________No._____

10 Halts required Enroute:__________________________

11 Duration of Halt:__________________________

12 Requirement of Special Free Halts for Entraining and

Detraining:__________________________

13 Sponsorship Details

(eg. Tour Operator):__________________________

 

 

14Detailed Programme

(Including return journey

to be attached):____________________________

 

DECLARATION:

(1) I certify that the contents of this applicationare trueto the best of my knowledge.

(2)My application is liable to be rejected in case it is found to be fictitious or in anybody else's name.

(3)I certify that the Coach/Coaches allotted to me will be returned to the Railway in sound condition and Deficiency Certificate obtained from SS/SMs concerned shall be enclosed whileapplying for refund.

(4)I agree to payDetention Charges as due in case the Coach/Coaches/Tourist Car are detained enroute or at destinationon my account.

(5) I certify that I shall not carry any inflammable or hazardous material in the Coach/Coaches during the course of my journey.

(6) I agree to indemnify the Railways against any damage, whatsoever, caused to railway assets during the course of the tour.

 

Signatureof the applicant.

Name & Address:_________

________________________

 ________________________

 

 

Encl:One Identify Proforma along with the necessary documents.

 

 


 

(II) Proforma establishing Identity of the Applicant

 

 

                CENTRAL RAILWAY

 

1.   Name:___________________________________

 

2.   Father’s Name:____________________________

 

3.   Postal Address:____________________________

____________________________

____________________________

4.   Permanent Address:________________________

____________________________

____________________________

 

5.   Phone No.:Office__________(Residence)_______________

 

6.   Income Tax PAN No.:_______________

 

7.   Copy of Ration Card

Or Telephone Bill

Or Electricity Bill

authenticating the address of Manager of the tour.

 

8. I am liable to pay undercharges if any and also

compensate for damages if any to Railway Property as

demanded by Railway Administration.

 

 

Signature:________________

Name:____________________

Address:__________________

 

To be Witnessed by Two Persons:

 

Witness No.1:Witness No. 2

Signature:________________        Signature :________________

Name & Address:_      _________Name & Address:__________

_________________________________________________

_________________________________________________

Phone No.:________________Phone No.:_______________

 

 

 

 

 

CHECK LIST FOR REQUISITIONING FOR A SPECIAL COACH/TRAIN

 

HAVE YOU SPECIFIED

a)Train Particulars(Name and Number)

b)Date of Commencement of Journey

c)From/To

d)Route

e)Halts Required Enroute/Duration of Halt

f)Entraining/Detraining Halts Required

g)Detailed Programme from end to end

h)Income Tax PAN Card Number

i)Sponsorship Details

 

 

HAVE YOU ENCLOSED

 

a) Photocopy of Money Receipt.

b) A Pasted Photo Graph.

c) Copy of Ration Card/ Telephone Bill/Electricity Bill.

d) Photocopy of I.T. PAN Card.

 




Source : Central Railway / Indian Railways Portal CMS Team Last Reviewed on: 04-08-2011  


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