| PASSENGER FOIL Particulars of Ticket Surrendered for cancellation | Chief Commercial Manager Full postal Address of (Refunds) of TDR issuing Zonal Railway |
| No. |
| Date:……..…………Time:…………… |
| Journey ticket PNR No………………………… |
| Class:…………………………. |
| Train No…………………… |
| Date of journey:…………………. |
| Validity of ticket: Station from:…………………Station to…………………… station via…………………………… |
| No. of passengers…………………. |
| Supplementary charge ticket/Excess Fare Ticket/Guard Certificate No………………… |
Reservation Ticket No……………………………….. |
| Reservation status:………………………….. |
| Total Charge (in words): Rs……………………… |
| Reasons for not granting refund at the station:………………………………………………………….… …………………………………………………………………………………………………………. |
| Received TDR Signature of Station Manager |
| Depositor’s Signature Station Stamp |
| Guidelines for Passengers: |
| 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. |
| 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. |
| 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. |
| Refund is granted through station pay order (to be encashed at station) or Money Order or Crossed Cheques. 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 |
