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ANDHRA
PRADESH STATE ROAD TRANSPORT CORPORATION |
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REQUISITION
FORM FOR RESERVATION/PREPONEMENT/
POSTPONEMENT/CANCELLATION/RETURN JOURNEY TICKET |
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| Date
of Journey |
________________ |
|
_________________ |
| Service
No. |
________________ |
Time of Departure: |
_________________ |
| From(Boarding): |
________________ |
To (Destination): |
_________________ |
| No. of
Full Tickets: |
(
) |
No. of Half
Tickets: |
(
) |
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|
Name |
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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| Type
of concession claimed (if any) |
| For
Preponement / Postponement / Cancellation of Journey: |
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| From
Date |
(
) |
To
Date: |
(
) |
| Seat
Nos. |
__________________________________________________ |
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| ________________________________________________________________ |
| For
return Journey Ticket: |
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Choice of
return Jourmey: |
Day |
(
) |
Night |
(
) |
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| Name and
Address:
___________________________________________________________________________ |
| ______________________________________________________________Ph.No._________________________ |
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| Date:________________________
Signature___________________________ |
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(For Office Use
only) |
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| Seat Nos.
Alloted______________________________
Signature of
B.C.____________________________ |
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Signature of
Supervisor___________________________________________________________________ |
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(Incase of pre / Postponement / Cancellation of Journey only) |
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