APPENDIX 'D'
{See Rule 101, Serial No.29(1)}
CONCESSION CERTIFICATE |
| Paste passport size photograph Duly signed and stamped by
the Issuing Doctor |
Form the purpose of grant of rail concession to Orthopaedically Handicapped/ Paraplegic
persons/ patients to be used by the Govt. Doctor |
| This is to certify that Km./ Shri./ Smt. ..................................................,
whose particulars are furnished below, is a bonafide Mentally Retarded person and CANNOT
TRAVEL WITHOUT AN ESCORT. |
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| Particulars of the Orthopaedically handicapped/ Paraplegic person/ patient |
| 1. |
Address : |
______________________________ |
| 2. |
Father's/ Husband's Name : |
______________________________ |
| 3. |
Age : |
______________________________ |
| 4. |
Sex : |
______________________________ |
| 5. |
Signature of Left Hand Thumb Impression of Mentally Retarded person : |
______________________________ |
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| Place : __________ |
Signature of Govt. Doctor |
| Date : __________ |
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| _________________________ |
_________________________ |
| Clear Seal of Govt. Hospital/ Clinic |
Seal Containing full name and Regd. No. of Doctor |
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| * Strike out where not applicable |
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| Note :- |
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- Certificate should be issued only to those Mentally Retarded persons WHO CANNOT TRAVEL WITHOUT
AN ESCORT. The photo must be signed and stamped in such a way that Doctor's signature and stamp
appears partly on the photo and partly on the certificate.
- The certificate is valid for five years from the date of issue. After expiry of the period
of validity of the certificate, the person is required to obtain a fresh certificate. A Photostat
copy of this certificate is accepted for the purpose of grant of concession. The original certificate
will have to be produced for inspection at the time of purchase of concessional ticket and during
the journey, if demanded.
- No alteration in the form is permitted.
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(Note : Mentally Retarded person is permitted to travel by 2-tier A.C.Sleeper
on payment of concessional fare for first class and surcharge for 2-tier A.C.Sleeper)
Facility of issue of concessional return ticket will also be available in one
month from the date of commencement of outward journey. M.R. person should be given preference
in allotment of coupe on reservation in first class, if required. Free ticket for one escort is
available for every two persons in the same class of carriage whether they hold adult ticket or
half ticket.
All the concessional fares shall be calculated on the basic railway fare for
the journey. No person/party will be allowed more than one concession at one time.
The holder of a concession ticket will not permitted to change the ticket to
a higher class by paying the difference except in the case of T.B. and Cancer patient, leprosy
patient etc., The break up journey shall not be allowed on a concession ticket for a specific journey
for example students traveling for an examination center, patient traveling to/from a hospital,
professor traveling from/to a conference etc. The break journey will be allowed only if it is a
natural event. During break journey, the passenger has to endorse the ticket alongwith Station
Master's initial, date and station code. Refund of the untravelled person on such tickets will
not be allowed.
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