E category NTI-14

Northeast Frontier Railway.
PRESS NOTIFICATION.
No.C/4/1/Misc/JTBS/14-01.
Dated:-18/09/2014.
Sub:-Appointment of Jan Sadharan Ticket Booking Sewak(JTBS) at Baghdogra, Bangalbari,
Bathnaha, Belakoba, Buniadpur, Chatterhat, Dalan, Dandkhora, Dhumdangi, Eklakhi,
Gaisal,Galgalia, Garhbanaili, Gayabari, Gazole, Ghum, Gunjaria, Hatwar, Jhaua, Jalalgarh,
Kasba, Kachna, Kanki,
Khurial, Kumarganj, Kuretha, Kuretha, Mahanadi,
Mahiyarpur,Malahar,Malda Court, Magurjan, Manihari,
Milangarh,Mukuria, Maniya,
Naksalbari, Nijbari, Old Malda,Panjipara,Pranpur Road,Radhikapur, Rangapani, Rangtok,
Raninagar Jalpaiguri,Ranipatra, Rautara, Simraha, Singhabad, Sondada, Sukna,
Surjkamal, Surjkamal, Tindharia, Tinmillehat AND Tung respectively under “E” category
Railway stations over Katihar Division for a period of 03(Three) years term only.
Sealed covers are invited by Divisional Railway Manager(Commercial), Northeast Frontier Railway/
Katihar on behalf of the President of India for appointment of Jan Sadharan Ticket Booking Sewak(JTBS)at
Baghdogra, Bangalbari, Bathnaha, Belakoba, Buniadpur, Chatterhat, Dalan, Dandkhora, Dhumdangi, Eklakhi,
Gaisal, Galgalia, Garhbanaili, Gayabari, Gazole, Ghum, Gunjaria, Hatwar, Jhaua, Jalalgarh, Kasba, Kachna,
Kanki, Khurial, Kumarganj, Kuretha, Kuretha, Mahanadi, Mahiyarpur, Malahar, Malda Court, Magurjan,
Manihari, Milangarh, Mukuria, Maniya, Naksalbari, Nijbari, Old Malda, Panjipara, Pranpur Road, Radhikapur,
Rangapani, Rangtok, Raninagar Jalpaiguri, Ranipatra, Rautara, Simraha, Singhabad, Sondada, Sukna,
Surjkamal, Surjkamal, Tindharia, Tinmillehat AND Tung srespectively under “E” category Railway stations over
Katihar Division.
S
N
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Baghdogra
Station
Code
BORA
Bangalbari
Bathnaha
Belakoba
Buniadpur
Chatterhat
Dalan
Dandkhora
Dhumdangi
Eklakhi
Gaisal
Galgalia
Garhbanaili
Gayabari
Gazole
Ghum
Gunjaria
Hatwar
Jhaua
Jalalgarh
Kasba
Kachna
Kanki
Khurial
Kumarganj
Kuretha
Kusiargaon
Mahanadi
Mahiyarpur
Malahar
Malda court
Magurjan
BJY
BTF
BLK
BNDP
CAT
DLF
DNQ
DMZ
EKI
GIL
GAGA
GBN
GBE
GZO
GVM
GEOR
HWR
JAU
JAG
KUB
KAU
KKA
KWE
KMRJ
KUQ
KSY
MHN
MHPR
MFZ
MLFC
MXJ
Serving stations
Category
ST
* OBC
No. of
JTBS
UR
* SC
01
X
X
X
01
X
Within serving station area
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
X
X
01
X
X
X
X
01
01
01
X
X
01
01
X
X
X
X
X
X
X
01
01
X
01
X
01
X
01
01
01
01
X
X
X
01
X
X
X
X
X
X
X
X
X
X
X
01
X
X
01
X
X
X
X
X
01
X
01
X
X
X
X
X
X
X
X
01
01
X
X
X
X
X
X
X
X
X
X
01
X
X
01
X
X
X
X
X
X
X
X
X
X
X
01
X
01
X
X
X
X
X
X
01
01
X
X
01
X
X
X
X
X
X
X
X
01
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
01
X
X
01
X
X
X
X
X
X
X
X
X
X
X
X
-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-
1
Minorities
Location
S
N
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
Serving stations
Manihari
Milangarh
Mukuria
Maniya
Naksalbari
Nijbari
Old Malda
Panjipara
Pranpur Road
Radhikapur
Rangapani
Rangtok
Raninagar
Jalpaiguri
Ranipatra
Rautara
Simraha
Singhabad
Sondada
Sukna
Surjkamal
Sudhani
Tindharia
Tinmillehat
Tung
Station
Code
MHI
MQG
MFA
MYIN
NAK
NJB
OMLF
PJP
PQD
RDP
RNI
RTG
RQJ
RNX
RWA
SMH
SQB
SAD
SN
SJKL
SUD
TDH
TMH
TUNG
Total
No. of
JTBS
01
01
01
01
01
01
UR
X
01
X
X
X
* SC
X
X
X
X
X
Category
ST
* OBC
X
01
X
X
X
X
01
X
X
01
Location
Minorities
X
X
01
X
X
-do-do-do-do-do-do-
01
01
01
01
01
01
01
X
X
X
X
X
X
X
X
X
01
X
X
X
01
01
01
01
01
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
01
01
X
X
X
X
-do-
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
01
X
X
X
X
X
X
01
X
-do-do-
01
01
X
28
X
X
01
07
X
X
X
05
X
X
X
11
X
X
X
05
-do-do-do-
-do-do-do-do-do-do-
-do-do-do-do-do-do-
i)
Necessary Application forms and Documents with terms and conditions including other information of
contract may be obtained/can be had from Divisional Railway Manager (Commercial), Katihar’s office
and Area Manager’s office, New Jalpaiguri, N.F.Railway from 10.00 hrs. to 17.00 hrs. on all
working days with effect from 29/09/2014 to 30/10/2014 on production of Money Receipt `
500/-(Rupees Five hundred)only as the cost of Tender Form(non refundable) issued by Coaching
Supervisor, Katihar Model Station Building, Coaching Supervisor/New Jalpaiguri, Divisional Cashier/
Katihar & New Jalpaiguri N.F.Railway.
ii)
Necessary application forms along with its terms and conditions will also be made available on
N.F.Railway’s Website www.nfrailway.com during the above-mentioned period and it can be down
loaded and used as Application Form and Documents for submitting the offer. However, application
Form/documents must be accompanied with the requisite cost of the application form in the shape of
Bank/Demand Draft issued in favour of FA & CAO/Maligaon, N.F.Railway, Guwahati payable at Katihar.
iii)
In case the offer is not accompanied by the valid draft for the cost of the Application Forms
as detailed above, the application will be summarily rejected.
iv)
Railway Administration will not be responsible for any delay/difficulties/inaccessibility of the down
loading facility for any reason what- so- ever.
v)
Application & document is not transferable.
vi)
In case of any discrepancy between the application Form down loaded from Internet and the Master
copy available in offices as mentioned above, the later shall prevail and will be binding on the
applicant(s). No. claim/complaint on this account will be entertained.
vii)
Sealed application & documents may be dropped in the Box kept in the Chamber of Assistant
Commercial Manager/I/Katihar and Area Manager/New Jalpaiguri, N.F.Railway from 10.00 hrs. to
17.00 hrs. on all working days with effect from 29/09/2014 to 30/10/2014 and it will be
opened at 15.00hrs. on 31/10/2014 in the Chamber of Assistant Commercial Manager, N.F.
Railway, Katihar in presence of Account’s representative and intending applicants if they
wish. Tender received after the date and time specified above shall not be accepted. In case the date
of dropping and opening of tender falls holiday/ closed day for unforeseen reason, the tender box will
be kept/opened on the next working day.
2
viii)
The successful applicant will have to commence work within the stipulated time after finalization of
scrutiny/interview at short notice.
ix)
The application Form and documents without proper requisite credential is liable to be rejected.
x)
Application & Documents sent through registered post will be at the risk of applicants only and the
Railway administration will not be responsible for any delay. Tender Form which will be received
after 17.00hrs. of 30/10/2014 will not be entertained.
xi)
The Railway Administration reserves the right to reject any or all the applications without assigning
any reason what-so-ever and no applicants shall demand any explanation to the cause of rejecting
his/her application.
xii)
Only one application can be submitted by a Candidate for a particular station.
xiii)
The cover containing application must be quoted with red ink on the top of the cover (Right hand
corner) as “Application for the “______________ “station.
xiv)
Without drawing/Map/Sketch plan of proposed site of JTBS location, the application will not be
entertained.
For Divl.Railway Manager(Comml.)
N.F.Railway,Katihar
3
DOCUMENT.
APPLICATION FOR JAN SADHARAN TICKET
BOOKING
SEWAK(JTBS)
AT_____________
RAILWAY STATION LOCATION.
Name of the Work:- Appointment of Jan Sadharan Ticket Booking
Sewak(JTBS)
at
Baghdogra
Bangalbari,
Bathnaha,
Belakoba,
Buniadpur,Chatterhat,Dalan,Dandkhora,Dhumdangi,Eklakhi,Gaisal,Galgal
ia,Garhbanaili,Gayabari,Gazole,Ghum,Gunjaria,Hatwar,Jhaua,Jalalgarh,K
asba,Kachna,Kanki,Khurial,Kumarganj,Kuretha,Kuretha,Mahanadi,Mahiy
arpur,Malahar,Malda
Court,Magurjan,
Manihari,
Milangarh,
Mukuria,Maniya,Naksalbari,Nijbari,
Old
Malda,Panjipara,Pranpur
Road,Radhikapur, Rangapani, Rangtok, Raninagar Jalpaiguri, Ranipatra,
Rautara, Simraha, Singhabad, Sondada, Sukna, Surjkamal, Surjkamal,
Tindharia, Tinmillehat and Tung respectively under “E” category Railway
stations over Katihar Division for a period of 03(Three) years term only.
Dated:-18/09/2014.
Ref:-C/4/1/Misc/JTBS/14-01.
Name of Applicants_________________________________________
Full Address_______________________________________________
________________________________________________
Mobile No._______________________________________________.
Divisional Railway Manager(Commercial)
Northeast Frontier Railway,Katihar
For and behalf of President of India.
Dated:Signature of Applicant/s.
Place:Dated:-
4
TERMS & CONDITIONS
Eligibility/Qualification:1)
The applicant should be a resident of the Local Block/Tehsil/Mandal in which the “E”
category station is located where STBS is proposed to be appointed. For this the
certificate issued from CO/BDO/Tehsildar/SDO/ADM/DM will be accepted.
2)
The applicant should produce a Character certificate from District Magistrate/ Additional
District Magistrate/Sub District Magistrate/Block Development Officer/ Thasildar.
3)
The age of applicant should be minimum 18 years or above. Applicant should be passed
at least Class-X. Applicant should enclose self attested copy of Educational Certificate
issued by School. Date of Birth mentioned in the certificate will be taken as certificate of
age proof.
4)
The applicant will also have to produce a certificate from the Police Station serving
his/her locality that “NO CRIMINAL CASE IS PENDING AGAINST HIM/HER”.
5)
Jan Sadharan Ticket Booking Sewak(JTBS) is entitled to collect service charge @ ` 1/(Rupees One)only per passenger in case of Platform Tickets also.
6)
There is no change in the validity period of Platform Tickets being sold by Jan Sadharan
Ticket Booking Sewak(JTBS).
7)
Jan Sadharan Ticket Booking Sewak(JTBS) counters to be operated outside the Railway
premises.
8)
Jan Sadharan Ticket Booking Sewak(JTBS) operators have been permitted to operate
one additional counter provided the sale of tickets is more than 800(eight hundred) per
day on each counter for at least a period of one month.
9)
Service charge of ` 1/-(Rupees one)only per passenger collected by Jan Sadharan
Ticket Booking Sewak(JTBS) operator caters to the investments made by the operator.
10)
The Jan Sadharan Ticket Booking Sewak(JTBS) will not sublet, assign or transfer the
right or obligations arising out of the contract. In case of death of licencee, the will be
transferred to his/her legal heir(s) for the unexpired period of licence by the Competent
Authority and the legal heir(s) will also be eligible to apply for extension to the licence.
11)
The check of lower financial limit of ` 10,000/-(Rupees Ten thousand), up to which Jan
Sadharan Ticket Booking Sewak(JTBS) can issue tickets, has to be provided in the
system universally for all Jan Sadharan Ticket Booking Sewak (JTBS) so that tickets by
Jan Sadharan Ticket Booking Sewak(JTBS) cannot be issued if the amount deposited by
them is less than ` 10,000/-(Rupees Ten thousand).
___________________
Full Signature of applicant.
5
12)
TBS will be responsible for the safe custody of the Ticket Rolls. In case of any loss on
this account, necessary debit will be raised against him/her as per extant instructions.
Proper record of Ticket Rolls issued to the JTBS will be kept by the Commercial
Department of the station serving the JTBS.JTBS will be submit the accounts of sale of
ticket to serving station on daily basis along with value of tickets sold. Proper
accountability of UTS Ticket stationery shall be ensured.
13)
JTBS will procure UTS Terminal for which all the costs initial as well as recurring
including equipments and channels hiring would have to be borne by JTBS.
14)
The successful applicant should have to procure following hardware at your own cost
from the authorized vendors. For up-keeping the functioning of all the system, should
maintain the hardware at your own cost through OEM or the authorized agent. During
execution of the agreement, receipts/vouchers of the following equipments mentioned
below must be brought with you for production of the same before the Railway
Administration. Moreover, in respect of connectivity of Terminal from the nearest UTS
locations.
Quantity
SN
Company Name
Equipment & Model
required to procure
1.
M/s HCL Peripherals
01 Nos.
Dumb Terminal(2020-R)
Ticket Printer
2.
M/s TVSE Electronics
01 Nos.
(TVS-E-250-IR)
Report Printer
3.
M/s TVSE Electronics
01 No.
(MSP-245)
Teamlink High Speed
4.
M/s Team Engineers
1 pairs
(64/128 Kbps)
M/s Cygnus Microsystems
5.
JTBS Linker & Modems
HYD
15)
The Railway reserves the right to accept/cancel any application(s) without assigning any
reason, whatsoever.
16)
The successful applicant should have to deposit ` 5,000/-(Rupees Five thousand) only
as a refundable Security Deposit (interest free) and ` 20,000/-(Rupees Twenty
thousand) only as a Bank Guarantee to the Railways drawn in favour of FA & CAO/
Northeast Frontier Railway, Maligaon payable at Guwahati. On completion/ termination
of contract pending dues will be adjusted from the security deposit and balance will be
refunded to Jan Sadharan Ticket Booking Sewak(JTBS).
17)
In case the Jan Sadharan Ticket Booking Sewak(JTBS)operator express inability to
operate Jan Sadharan Ticket Booking Sewak(JTBS), after appointment as Jan Sadharan
Ticket Booking Sewak(JTBS) operator, the Bank Guarantee as well as the security
deposit made by the Jan Sadharan Ticket Booking Sewak(JTBS) operator will be
forfeited.
18)
Applicant should be a local resident of the area served by the station.
19)
The premises for issue of Unreserved Tickets should have easy accessibility of the
public.
20)
Initial period of contract will be for three years which may be extended yearly on the
basis of satisfactory performance and may be increased for the next three years,
subject to extension of contract for a one year at a time. The license of Jan Sadharan
Ticket Booking Sewak(JTBS) may be considered for extension beyond a period of 6(six)
years on yearly basis subject to certification of satisfactory performance(both
financially as well as operationally by Competent Authority.
_________________
Full Signature of applicant.
6
21)
JBTS will submit a daily statement to the Station Master/Manager or any other
nominated officer indicating the details of Tickets sold along with the value. Station
Master/Manager or any other nominated officer will maintain proper record of daily sale
of Tickets by JTBS. A consolidated statement of Tickets Rolls supplied to and details of
Tickets sold by JTBS will be submitted by Station Master/Manager or any other
nominated officer to Sr. Divisional Commercial Manager/Divisional Commercial
Manager,Northeast Frontier Railway, Katihar every month. JTBS will not issue Tickets
from Station Premises. All Computerized Tickets wrongly printed or wrongly issued or
otherwise are classified as non-issued. In case of above problem/defects, the operator
can non-issue the Ticket by pressing a single key provided in the Key Board i.e. Non
issued transactions should immediately follow the transaction which are being nonissued.
22)
JTBS should be working round the clock.
23)
Initial period of contract will be for two years which may be extended yearly on the
basis of satisfactory performance and may be increased for the next three years.
24)
Applicant should submit the Sketch plan of location with land mark along with
application.
25)
The original certificates may have to be produced at the time of interview, if required.
Recommendation from any source will be a disqualification on the part of the application
and such applications are liable to be rejected. Incomplete applications will also be
rejected. No correspondence will be made with disqualified and unsuccessful
candidate(s)/applicant(s) regarding selection of Jan Sadharan Ticket Booking
Sewak(JTBS) operator.
26)
In case the Jan Sadharan Ticket Booking Sewak(JTBS) operator expresses inability to
operate Jan Sadharan Ticket Booking Sewak(JTBS), after appointment as Jan Sadharan
Ticket Booking Sewak(JTBS) operator, the Bank guarantee as well as the Security
deposit made by the Jan Sadharan Ticket Booking Sewak(JTBS) operator will be
forfeited.
27)
Applicant with a Telephone connection in his office or residence will be preferred.
28)
The Cost of Tender Form is ` 500/-(Rupees Five hundred)only.
29)
Those who have down loaded the application form from website must enclose the cost
of application form & documents ` 500/-(Rupees Five hundred)only in the shape of
Demand Draft drawn in favour of FA & CAO/Maligaon, N.F.Railway, payable at Katihasr
or Money Receipt deposited at CS(Cg)/Katihar or New Jalpaiguri or Divisional Cash
Office/Katihar or New Jalpaiguri N.F.Railway.
30)
Demand Draft of `___________words in Rupees____________________)only
bearing No._____________ dated_________issued by Bank___________ Branch
__________drawn in favour of FA & CAO/ Northeast Frontier Railway, Maligaon
payable at Katihar is enclosed
as cost of Tender Document(in case the Tender
documents are downloaded from Railway website).
_________________
Full Signature of applicant.
7
31)
The cover should be dropped in the box kept for this purpose in the Chamber of
Assistant Commercial Manager/I,Katihar and Area Manager/New Jalpaiguri, N.F. Railway
from 10.00 hrs. of 29/09/2014 to 17.00 Hrs. of 30/10/2014 on all working
days and it will be opened at 15.00hrs. on 31/10/2014 in the Chamber of
Assistant Commercial Manager, N.F. Railway, Katihar in presence of Account’s
representative and intending applicants if they wish. Tender received after the
date and time specified above shall not be accepted. In case the date of dropping and
opening falls holiday/closed day for unforeseen reason, the box will be kept/ opened on
the next working day.
32)
This application format may be downloaded and also be obtained from the Office of
Senior Divisional Commercial Manager, Katihar & Area Manager/New Jalpaiguri,
Northeast Frontier Railway.
33)
Necessary Application forms and Documents with terms and conditions including other
information of contract may be obtained/can be had from Divisional Railway Manager
(Commercial), N.F. Railway, Katihar’s office and Area Manager’s office, New Jalpaiguri,
N.F.Railway from 10.00 hrs. to 17.00 hrs. on all working days with effect from
29/09/2014 to 30/10/2014 on production of Money Receipt ` 500/-(Rupees Five
hundred)only as the cost of Tender Form(non refundable) issued by Coaching
Supervisor, Katihar Model Station Building, Coaching Supervisor/New Jalpaiguri, Divisional
Cashier/Katihar & New Jalpaiguri N.F.Railway.
34)
Necessary application forms along with its terms and conditions will also be made
available on N.F.Railway’s Website www.nfrailway.com during the above-mentioned
period and it can be down loaded and used as Application Form and Documents for
submitting the offer. However, application Form/documents must be accompanied with
the requisite cost of the application form in the shape of Bank/Demand Draft issued in
favour of FA & CAO/Maligaon, N.F.Railway, Guwahati payable at Katihar.
35)
In case the offer is not accompanied by the valid draft for the cost of the
Application Forms as detailed above, the application will be summarily rejected.
36)
Railway Administration will not be responsible for any delay/difficulties/ inaccessibility of
the down loading facility for any reason what- so- ever.
37)
Application & document is not transferable.
38)
In case of any discrepancy between the application Form down loaded from Internet and
the Master copy available in offices as mentioned above, the later shall prevail and will be
binding on the applicant(s). No. claim/complaint on this account will be entertained.
39)
Sealed application & documents may be dropped in the Box kept in the Chamber of
Assistant Commercial Manager/I, N.F.Railway, Katihar and Area Manager/New Jalpaiguri,
N.F.Railway from 10.00 hrs. to 17.00 hrs. on all working days with effect from
29/09/2014 to 30/10/2014 and it will be opened at 15.00hrs. on 31/10/2014
in the Chamber of Assistant Commercial Manager, N.F. Railway, Katihar in
presence of Account’s representative and intending applicants if they wish.
Tender received after the date and time specified above shall not be accepted. In case
the date of dropping and opening of tender falls holiday/closed day for unforeseen
reason, the tender box will be kept/opened on the next working day.
_________________
Full Signature of applicant.
8
40)
The successful applicant will have to commence work within the stipulated time after
finalization of scrutiny/interview at short notice.
41)
The application Form and documents without proper requisite credential is liable to be
rejected.
42)
Application & Documents sent through registered post will be at the risk of applicants
only and the Railway administration will not be responsible for any delay. Tender Form
which will be received after 17.00hrs. of 30/10/2014 will not be entertained.
43)
The Railway Administration reserves the right to reject any or all the applications without
assigning any reason what-so-ever and no applicants shall demand any explanation to
the cause of rejecting his/her application.
44)
Only one application can be submitted by a Candidate for a particular station.
45)
The cover containing application must be quoted with red ink on the top of the cover
(Right hand corner) as “Application for the “______________ “station.
46)
Without drawing/Map/Sketch plan of proposed site of JTBS location, the application will
not be entertained.
_________________
Full Signature of applicant.
9
APPLICATION FORMAT FOR JAN SADHARAN
TICKET BOOKING SEWAK(JTBS)
Affix recent
passport size
photograph
duly self
attested.
Sub:- Application for appointment of Jan Sadharan Ticket Booking
Sewak (JTBS) at __________________________ over Katihar
Division under “E” category stations.
Ref:-Your Press Notification No.
In reference to the above, myself is submitting application for running of Jan
Sadharan Ticket Booking Sewak(JTBS) at _____________________ station over Katihar
Division. My Bio-Data is appended below:-
1.
2.
Name of the Applicant
(In block letter)
Father/Husband’s Name
Sex(Male/Female)
4.
Date of Birth(with Proof)
Qualification
(with self attested copies of
the certificate)
Whether SC/ST/OBC/Minority
6. (Self attested copies of relevant
documents to attached)
5.
7.
Residential address
(Proof of residence to be
enclosed with self attested)
__________________
Full Signature of applicant.
10
8.
Business Address
(JTBS Premises)
9.
Name of the Serving station
10.
Distance of JTBS premises
from Serving station(IN KM)
Whether the JTBS premises
are owned or on hire/lease
11.
(supporting documents to
attached with self attested) &
its area with dimensions.
Whether the premises is
12.
easily accessible to public
(Sketch of location to be enclosed).
Details of the Character
certificate issued by a District
Magistrate/Addl. District
Magistrate/Sub District
13.
Magistrate/Block
Development Officer or
Tehsildar
(self attested copy to be
enclosed)
Certificate of clearance from
14. Criminal cases, issued by Local
Police station enclosed or not
Landline Telephone number
of the Shop where business
will be carried out(Copy of
15.
last month Telephone bill
should be enclosed with self
attested) .
No. of enclosures
16.
17.
SN
Details
DD/MR No.
Dated
1. Cost of application
Form
Amount
(In `)
500/-
Issued by
__________________
Full Signature of applicant.
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18.
SN
1
2
3.
4.
5.
6.
7.
Particulars
Submitted or not
Age Proof
Residential
Character Certificate
Educational Certificate
Police verification
Certificate- SC/ST/OBC/Minority(as applicable)
Sketch of Location
I under take that in event of any false or inaccurate information given above in any
respect the application/license shall be liable to be rejected/cancelled.
I shall abide by all the terms and conditions of Jan Sadharan Ticket Booking
Sewak(JTBS) scheme prescribed from time to time.
I am declaring that no JTBS contract is running by the undersigned at any
station over Indian Railway.
Place:Date:__________________
Full Signature of applicant.
Full Name:Father Name:Full Address:-
Mobile No.
NB:- All supporting documents should be enclosed duly self attested.
12