jusat application for issue of concession based Selena betectng on Se cckeling tov v Ponca ‘Challenged Persons using Photo Identity Cord ned Issued by Ratiway. FROM: To ‘Sanior Ovisional Commoreial Manager, ‘Division, Vijayawada SCR Railway, Vijayewada DATE Sir, Sub :- Requast for issue of concession based ticketing including on the ticksting for the: Physically Chae soos aad eee ee by Rallways. a Kody srange to issue concen Physicaly Ghalenged Pereons using Photo Wenity Gerd based ticking Including on line ticketing Issued by Railways in favour of me. In this Connection. | am. here with furnishing detals of myasif and submitting the following required documents for lesue of Photo Identity Card for the purpose of the above. ‘of tho Applicant: NAME OF THE APPLICANT 1) | (along with Sumame in Capital Letters) 2) | Fathers / Husband's Name aoe 3) | Date of Bich : 4) | Gerider 5) | Addrass of the Applicant 8). | Mobile Number 7) | Name & Addrass of the Govt. Doctor Regd No.of Govt. Doctor ah TN ESS RE DRG Copy Self Altested io - Yor Porson t : i ) | identity Card for Person with Disability i Pear inet meal ams | No | 3y-| Photo identity Proof (Aaghaar Card, Voter Card, PAN Card)! Copy Seif Aitested ic Date of Birth Proof — (SSC Certificate) . Copy Seif Aitestec S Jo] Address Proot 5 Copy Seif Aitested wes | {nol 6) | Two Photos Passport size - ( ) : Copy Self Aitested | | YES No | One Stamp Size Photopraph—(__) Copy SeitAttented | [YES | | NO * Rasta ; | naroby dactara vim the iformation tnined and documents submited above ior the purpose of U0 of concession Baped Ucketing Inciuding on line ticketing for the Plhysidally Challenged persone using Photo ideriity Cord