Railway Pass Declaration Form PDF Details

The Railway Pass Declaration form serves as a crucial document for employees within the South Central Railway system, facilitating the provision of travel passes for their family members and dependents in alignment with the IRCA Conference Rule. This comprehensive form requires the employee to detail their own personal information, including their full name, designation, pay scale, date of birth, and the date they were appointed, along with their entry into the Gazetted Cadre. Furthermore, it demands transparency about the living status of the employee's father, and necessitates a detailed list of family members and dependents who are eligible and in need of railway passes. This list includes their names, relationships to the employee, ages, and dates of birth. Employees are also required to declare any of their siblings who are working for the railways and might already be receiving passes, as well as noting the employment status of unmarried daughters and sisters. A vital aspect of this form is the declaration that all mentioned individuals reside with the employee and are fully dependent on them, highlighting the necessity for the requested passes. It concludes with a section for witnesses and the signature of the employee, along with the signature of the Incharge or Supervisor, underscoring the form’s legitimacy and the seriousness with which it should be completed.

QuestionAnswer
Form NameRailway Pass Declaration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfamily declaration form south central railway, pass declaration form for railway employees pdf, family declaration form pdf, railway pass declaration form pdf

Form Preview Example

SOUTH CENTRAL RAILWAY

No.

P.F. A/C No.

Date:

DECLARATION OF FAMILY MEMBERS AND DEPENDENTS FOR THE ISSUE OF PASSES

A’ A INED UNDER IRCA CONFERENCE RULE

1.Name of the Employee in

Full:___________________________________________________

2.Designation ____________________ Scale Rs. ___________ R.O.P. Rs._________________

3. Date of Birth __________________

Date of Appointment

___________________

 

4.Date of entry in to Gazetted Cadre

________________________________________________

5.My father is alive/not alive ___________________________________________

6.Details of Family Members/Department Relatives for whom Passes/ ’ are required.

S.

Name

Relationship.

Age in completed

D.O.B.

 

 

 

No.

 

 

Yrs. as on 01.01.

 

 

 

 

 

 

 

 

1.

2.

3

4.

5.

6.

(B)Dependent Relatives:

1.

2.

Attendant (if any)

7.I hereby declare that all the above mentioned members are residing with me and are wholly dependent upon me.

8.Name of my brother/sisters working in Railways are obtaining

’

9. The unmarried Daughters/Sisters mentioned above who are working in

y

’

Note: - Dependents are not allowed in Post (5) retirement Complementary passes to be Issued to retired employees.

Witnesses:-

Employees Signature

1.

2.

Signature of the Incharge /Supervisor

= = = =

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Be attentive when filling in this document. Make sure all necessary blanks are filled out properly.

1. It's important to fill out the railway pass declaration form accurately, thus be attentive when filling in the sections containing all these fields:

family declaration form railway writing process clarified (step 1)

2. The third step would be to submit the next few blanks: Details of Family, S DOB No, Name, Relationship, Age in completed, Yrs as on, B Dependent Relatives, and Attendant if any.

Step # 2 in filling in family declaration form railway

3. The following part is related to Witnesses Employees Signature, Signature of the Incharge, and Supervisor - type in each of these blanks.

Completing segment 3 of family declaration form railway

It's easy to make errors when filling out the Supervisor, and so be sure you look again before you submit it.

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