Delhi Metro Rail Corporation

Fire Brigade Lane, Barakhamba Road

New Delhi – 110001

METRO CITIZENS FORUM REGISTRATION FORM

1. Registration No……………………………………………………………………………………………………
(To be filled by DMRC)

2. Name:……………………………………………………………………………………………………………..

3. Gender:

Male Female

4. Date of Birth: Date Month Year

5. Mobile/ Landline: Office……………………Residence…………….……E-Mail IDs:…………………………

6. Address:……………………………………………………………………………………………………………

7. Occupation:……………………… ………………………………………..Designation:………………………...

8. Office Address:…………………………………………………………………………………………………….

9. Father’s Name…………………………………………………………....................................................................

10. Mother’s Name:…………. ………………………………………………………………………..……………….

11. How frequently do you travel on the Metro?.............................................................................................................

12. From which station to which station?........................................................................................................................

13. For your travel on the Metro, are you using a smart card or token?.......................................................................

14. If Smart Card, please provide the smart card number…………………..................................................................

15. Number of days and hours you can spare for DMRC and on which days of the week?..........................................

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………………………………………………………………………………………………………………………….

16. How can you make a difference as a Metro volunteer?............................................................................................

…………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………….

 Note: Please submit with this form a passport size photograph and copy of a valid photo identity card
(PAN Card, Driving License, Voter Identity Card or Passport).
 The selected candidates will be provided training to familiarize them with the Metro system
 The decision on the acceptance and rejection of the application lies solely with Delhi Metro.
 The Metro Citizens Forum is a voluntary service and no remuneration will be paid to the volunteers. They
will not be provided any additional facility.