APPLICATION FOR REFUND OF FARE
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The Chief Commercial Manager (Refunds),
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Sir,
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Sub:
Claim for refund of Fare on Ticket /PNR No. .............................
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1.
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The TDR was issued on cancellation of the above mentioned tickets at
..................
.Railway
Station.
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2.
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Reasons for cancellation of
journey
..........................................................
.
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3.
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Name of passengers for whom the
ticket was issued.1
...............
2
...................
..
3
..............
4
..........................
5
..............
6
...................
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4.
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Out of the above persons, the
persons at Sl.Nos
.
..
......to
.not travelled from
................... ...............
.station to
.........................................
.station
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5.
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Additional information, if
any
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6.
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I request that the refund due
under the rules, may please be sent to me at my following address. Name of
the Railway Station serving my place of residence is
..
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7.
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Preferable mode of payment.
Station pay order / cheque / money order /: (Tick/mark any one).
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Full postal address :
......... (in clear block letters)
Signature of claimant:
Name (in block letters) :
..
.
Date :
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TICKET DEPOSIT RECEIPT
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(TDR)
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PASSENGER FOIL
Particulars of Ticket
Surrendered for cancellation
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Chief Commercial
Manager
Full postal Address of
(Refunds) of TDR
issuing
Zonal Railway
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No.
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Date:
..
Time:
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1.
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Journey ticket PNR No
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2.
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Class:
.
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3.
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Train No
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4.
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Date of journey:
.
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5.
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Validity of ticket: Station
from:
Station to
station via
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6.
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No. of passengers
.
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7.
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Supplementary charge
ticket/Excess Fare Ticket/Guard Certificate No
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8.
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Reservation
Ticket No
..
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9.
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Reservation status:
..
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10.
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Total Charge (in words):
Rs
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11.
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Reasons for not granting refund
at the station:
.
.
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Received TDR
Signature of Station Manager
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Depositors
Signature Station
Stamp
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Guidelines for Passengers:
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1.
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The passenger is required to send an application for
refund (in the application form) to the Chief Commercial Manager (Refunds)
at the address printed on the top of this TDR. The receipt, in original,
must be returned. The application must reach the concerned refund office at
the earliest, but not later than 90 days from the date of journey.
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2.
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The certificate issued by TTE/Conductor for lower class
travel, AC failure, less number of persons travelling etc. are also
required to be enclosed in original with the application.
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3.
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It will be in the interest of passenger to either hand
over the application or by registered post and keep a copy of this receipt
and other documents.
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4.
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Refund is granted through station pay order (to be
encashed at station) or Money Order or Crossed Cheques. Station Pay Orders
are issued to persons who are residing within as well as outside the
jurisdiction of refund granting railway. However, Money Orders and Crossed
Cheques are issued to persons who are residing within as well as outside
the jurisdiction of refund granting railway. On receipt of pay order, the
passenger should approach the counter of nominated station for encashment
within the stipulated period along with proof of his/her identity such as
identity card/Driving Licence/Passport/Ration Card etc. In case the
applicant wants to collect money through his/her representative, an
appropriate authorisation should be made and the authorised person should
carry proof of identity at the time of encashment
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