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 : ……………

 





TICKET DEPOSIT RECEIPT

 

(TDR)

 

PASSENGER FOIL

Particulars of Ticket

Surrendered for cancellation

 

Chief Commercial Manager

 Full postal Address of

(Refunds) of TDR issuing

Zonal Railway

 

                                                     No.

 

Date:……..…………Time:……………

 1.

Journey ticket PNR No…………………………

 2.

Class:………………………….

 3.

 Train No……………………

 4.

Date of journey:………………….

 5.

Validity of ticket: Station from:…………………Station to…………………… station    via……………………………

 6.

No. of passengers………………….

 7.

Supplementary charge ticket/Excess Fare Ticket/Guard Certificate No…………………

 8.

Reservation Ticket No………………………………..

 9.

Reservation status:…………………………..

10.

Total Charge (in words): Rs………………………

11.

Reasons for not granting refund at the station:………………………………………………………….…

………………………………………………………………………………………………………….

 

 

Received TDR                                                                                               Signature of Station Manager

 

 

Depositor’s Signature                                                                                                          Station Stamp

 

Guidelines for Passengers:

 1.

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.

 2.

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.

 3.

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.

 4.

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