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. |
The TDR was issued on cancellation of the
above mentioned tickets
at
..................
.Railway Station. |
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2. |
Reasons for cancellation of
journey
..........................................................
.
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3. |
Name of passengers for
whom the ticket was
issued.
1
..........................................
2
..........................................
3
..........................................
4
..........................................
5
..........................................
6
.......................................... |
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4. |
Out of the above
persons, the persons at Sl.Nos
.
..
......to
.not
travelled from
................... ...............
.station to
.........................................
.station |
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5. |
Additional information,
if any
.
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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
.. |
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7. |
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. |
Journey ticket PNR
No
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2. |
Class:
. |
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3. |
Train No
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4. |
Date of
journey:
. |
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5. |
Validity of ticket:
Station from:
Station to
station
via
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6. |
No. of
passengers
. |
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7. |
Supplementary charge
ticket/Excess Fare Ticket/Guard Certificate No
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8. |
Reservation Ticket
No
.. |
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9. |
Reservation
status:
.. |
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10. |
Total Charge (in
words): Rs
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11. |
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. |
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. |
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. |
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. |
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 |