APPENDIX 'D-II'
{See Rule 101, Serial No.29(2)}
STUDENT FOIL |
| (To be retained by the holder during the journey and to be surrendered
at the destination alongwith the tickets) |
| |
| Office stamp of the School/ College/ Institution |
| Sl.No. __________ |
|
No.of escorts ____________________ (Maximum one allowed free for every
two children)
(To be entered in figures in red ink) |
| |
|
| |
|
| |
_________________________ |
| |
Signature/ Thumb Impression of leader of the party |
| |
|
| |
|
| Station from _______________ to _______________ |
| Date : __________ |
|
| Place : __________ |
Head Master/ Principal or another member Authorized to sign |
| Class : __________ |
|
| Issued : __________ (ticket No.) |
|
| Date : __________ | ____________________ |
| | (Station Master) |
| Station Stamp |
| Entries not required should be scored out. |
| Misuse of concession ticket or allowing another person to use the tickets
is a fraud which will render the under liable to prosecution or other penal action. |