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EQ Form

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TPC MDU
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100% found this document useful (1 vote)
10K views1 page

EQ Form

Uploaded by

TPC MDU
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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

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