EAST CENTRAL RAILWAY
RESERVATION / CANCELLATION REQUISITION FORM
Which Type of Ticket Do You Want
Counter Ticket(PRS Ticket)
Online Ticket (E Ticket)
If You are travelling in 3AC Class of Garin Rath Express Train or in A sleeper Class of Duronto Express Train,do You Want Bedroll in train ?
No
yes
Train Number and Name :
*
Class :
*
Select
First AC & Executive Class(1A)
AC Sleeper(2A)
First Class (FC)
AC 3-Tier (3A)
AC Chair Car (CC)
Sleeper Class (SL)
Second Class Seats (2S)
AC 3-Tier Economy (3E)
Station From :
*
Boarding at :
Mobile No :
*
Date Of Journey:
*
Quota:
*
Select
General
Ladies
Tatkal
Premium Tatkal
Station to:
*
Email Id:
SL.No
Name
(Not More than 15 Letter)
Age
Gender
Birth
Children of Age
between 5 to 11
Food Choice
1
Select
Male
Female
Transgender
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
2
Select
MALE
FEMALE
TRANSGENDER
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
3
Select
MALE
FEMALE
TRANSGENDER
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
4
Select
MALE
FEMALE
TRANSGENDER
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
5
Select
MALE
FEMALE
TRANSGENDER
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
6
Select
MALE
FEMALE
TRANSGENDER
Select
Upper Berth
Lower Berth
Middle Berth
Side Lower Berth
Side Upper Berth
Select
Full Ticket
Half Ticket
Select
VEG
NON-VEG
Children Below 5 Years( For Whom Ticket not be issued)
SL.No
Name In Block Letter
Gender
Age
1
Select
MALE
FEMALE
TRANSGENDER
Select
Below One Year
One Year
Two Year
Three Year
Four Year
2
Select
MALE
FEMALE
TRANSGENDER
Select
Below One Year
One Year
Two Year
Three Year
Four Year
Onward Return Journey Details
Train Number and Name :
Date Of Journey:
Station From :
Station to:
Class :
Select
First AC & Executive Class(1A)
AC Sleeper(2A)
First Class (FC)
AC 3-Tier (3A)
AC Chair Car (CC)
Sleeper Class (SL)
Second Class Seats (2S)
AC 3-Tier Economy (3E)
Remarks :
Reset
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