दक्षिण रेलवे / SOUTHERN RAILWAY
आपातकालीन कोटा के लिए आवेदन / APPLICATION FOR EMERGENCY QUOTA
[रेलवे अधिकारियों द्वारा अनुशंसित / RECOMMENDED BY RAILWAY OFFICIALS]
गाड़ी संख्या /Train No. 16128
यात्रा की तिथि / Date of Journey 03.04.2024
से From तक To MDU - MS
कक्षा / Class SL
यात्रियों की संख्यां / No. of Berths / Seat 01
पीएनआर संख्या / PNR No. 4164853087
यात्री का नाम / Name of the Passenger Salomi Gladi Christilda
पता / Address 60, Everwell Homes, Bhuvaneshwari
Nagar, Varadharajapuram, Mudichur,
Chennai 48
फोन सं. / सेल सं. Phone No. / Cell No. 9488753452
विशेष कारण /Special Reason C/O DEE/TRD/MDU
I certify that I am fully aware of the entitlement regarding allotment of
accommodation through Emergency Quota and I certify the eligibility and attest
the Identity of the passenger for allotment of accommodation from Emergency
Quota. I hereby undertake full responsibility of passenger’s credentials for whom
I am recommending for allotment of berth[s]
Particulars of Railway Officials
नाम / Name S.MUTHUKUMAR
पद / Designation DEE/TRD/MDU
कार्यालय / Office DRM office
फोन सं. / Phone No. 80561 62319
हस्ताक्षर/Signature