APPLICATION FOR REFUND OF FARE |
|
The Chief Commercial Manager (Refunds), |
|
Sir, |
| Sub: Claim for refund of Fare on Ticket /PNR No. ............................. |
| 1. | The TDR was issued on cancellation of the above mentioned tickets at ………..................…….Railway Station. |
| 2. | Reasons for cancellation of journey……………..........................................................…………….…… |
| 3. | Name of passengers for whom the ticket was issued.
1…..........................................
2…..........................................
3…..........................................
4…..........................................
5…..........................................
6….......................................... |
| 4. | Out of the above persons, the persons at Sl.Nos……….………..…......to………………….not travelled from ………................... ...............….station to …….........................................….station |
| 5. | Additional information, if any……………………………………………………………………….…… |
| 6. | 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…………………………………………………….. |
| 7. | Preferable mode of payment. Station pay order / cheque / money order /: (Tick/mark any one). |
| Full postal address : ………………………………......... (in clear block letters)
Signature of claimant: ……………………………………
Name (in block letters) : …………………………..…….
Date : …………… |
