APPENDIX 'D-I'
{See Rule 101, Serial No.29(2)}
CONCESSION ORDER |
| Certificate for obtaining concession for Mentally Retarded students
and school children when travelling in parties of "Not Less than four" |
| |
| (To be surrendered to the Station Master at the time of purchasing ticket) |
| Sr.No. __________ |
|
| From __________ |
Office Stamp of the School/ College/ Institution |
| |
______________________________ |
|
To
The Station Master
____________________ (Station)
____________________ (Railways)
Please issue first/ second class tickets at concessional rates applicable to
the following bonafide mentally retarded students/ childrens of my institution with one escort
free for every two mentally retarded school children of my institution with one escort free for
every two mentally retarded school children or adult students as endorsed below in red ink proceeding
from their School/ College/ Institution/ Homes/ Examination Centre in India.
They are travelling from _______________ (Station) to _______________
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| S. No. |
Name of Student |
Age |
Sex |
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| 1. |
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| 2. |
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| 3. |
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| 4. |
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No.of escorts ____________________ (Maximum one allowed free for every
two children)
(To be entered in figures in red ink) |
| |
|
| |
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| _________________________ |
_________________________ |
| Signature/ Thumb Impression of leader of the party |
Head Master/ Principal or another member authorized to sign |
| |
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| |
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| Station : __________ |
|
| Date : __________ |
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| Class : __________ |
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| Issued : __________ (ticket No.) |
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| Date : __________ | ____________________ |
| | (Station Master) |
| Station Stamp |