Indian Railways Reservation Form - Print form to book tickets at reservation counters

Name of applicant

Full Address

Signature of the Applicant/Representative ______________________

Telephone No., if any

INDIAN RAILWAYS	CM257
RESERVATION/CANCELLATION REQUISITION FORM

If you are a Medical Practitioner
Please tick ( ) in Box	Dr.
(You could be of help in an emergency)

If you want Sr. Citizen Concession, please write Yes/No in Box

(if yes, please carry a proof of age during the journey to avoid inconvenience of panel charging under extant Railway Rules)

Do you want to be upgraded without any extra charge? Write Yes/NO in the box.

(if this option is not exercised, full fare paying passengers may be upgraded automatically)

Train No & Name

Date of journey

Class

Number of Berth/Seat

Station From

Boarding at

Reservation upto

S.No.	Name in Block Letters (not more than 15 letters)	Sex (M/F)	Age	Concession/ Travel Authority No.	Choice (Lower/ Upper Berth)	Meals for Rajdhani/Shatabdi Express
1.
2.
3.
4.
5.
6.

CHILDREN BELOW 5 YEARS (FOR WHOM TICKET IS NOT TO BE ISSUED)

S.No.	Name in Block Letters (not more than 15 letters)	Sex	Age
1.
2.

ONWARD/RETURN JOURNEY DETAILS

Train No & Name

Date of journey

Class

Station From

                                                           FOR OFFICE USE ONLY
S.No. of Requistion_______________________ PNR No._______________________

Berth/Seat No._______________ Amount collected ________________

______________________ Signature of Reservation Clerk

Note  : 1.Maximum permissible passengers is 6 per requisition.
            2. One person can give one requisition form at a time.
            3. Please check your ticket and balance amount before leaving the window.
            4. Forms not properly filled or in illegible forms shall not be entertained.
            5. Choice is subject to availability