APPLICATION FOR RAILWAY CONCESSION FORM FOR STUDENTS F - PDF document

APPLICATION FOR RAILWAY CONCESSION FORM FOR STUDENTS (For Home Town Only) Note: This proforma is to be filled in and handed over to the office at least 7 days before the expected date of booking of the ticket. PROFORMA 1. Name of the Pupil...................................................................... ........ ... . 2. Class.................................................................. ...................... .. ...... . ..... . 3. Sex : Male/Female....................................................................... ... . ..... . 4. a) Date of Birth........................................................................... . ... ....... . b) complete d age......................................................................... .... . ... . . 5. Home Town/Village ................................................................ ........ ..... . 6. a) Outward journey from Rly. Station ................................ ......... .... .. . . . ............................................... on date............................................ .. .. . . b) Name of Railway......................................................................... .... . .. . 7. a) Inward journ ey from Rly. Station............................................... .... .. . . b) Name of the Railway ............................................................. .... ...... . . c) Booking Station........................................................ ................... .. . Certified that the home town of my ward as declared above is correct. Date : Signature of the Parent/Guardian Name of the Parent/Guardian......................... .................... .......... .................... ( In Block Let ters) Address........................................................................................ ............ . ....................................................................................................... Sign. of Class Teacher P rincipal Concession Form No. and Date of issue Clerk NOTE: - (a) Railway Concession forms will be issued to the student to travel to and from Home town Only. The term "Home" denotes. : (i) Native Place of the Student or (ii) The place where the parent or if no parent is alive the guardian of the student normally resides. (b) Application for Railway concession form all the chi ldren of a parent studying in AEC schools should be submitted at one and the same time. (c) If the children of a parent are studying in different AEC Schools, all their applications should be submitted in the school where the eldest child is studying. (d) Railway concession forms will be issued for Mid - term vacation and Summer Vacation , but not for Winter break.