ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION
REQUISITION FORM FOR RESERVATION/PREPONEMENT/POSTPONEMENT/CANCELLATION/RETURN JOURNEY TICKET
Date of Journey
________________
_________________
Service No.
________________
Time of Departure:
_________________
From(Boarding):
________________
To (Destination):
_________________
No. of Full Tickets:
( )
No. of Half Tickets:
( )
Name
Age
Sex
1)
2)
3)
4)
Type of concession claimed (if any)
For Preponement / Postponement / Cancellation of Journey:
From Date
( )
To Date:
( )
Seat Nos.
__________________________________________________
________________________________________________________________
For return Journey Ticket:
Choice of return Jourmey:
Day
( )
Night
( )
Name and Address: ___________________________________________________________________________
______________________________________________________________Ph.No._________________________
Date:________________________ Signature___________________________
(For Office Use only)
Seat Nos. Alloted______________________________ Signature of B.C.____________________________
Signature of Supervisor___________________________________________________________________
(Incase of pre / Postponement / Cancellation of Journey only)
Sunday, July 3, 2011
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