A better printable form is at http://www.prashant.myehome.in/down.html
-----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of BHAWANI SHANKAR VERMA Sent: 18 August 2011 18:52 To: [email protected] Subject: Re: [AI] About Railway Concession Again. here it is, this may fulfil your purpose. please copy-paste the form to your word processor and choose the page setup which fits your need. (Rule 101, Serial No.25) CONCESSION CERTIFICATE Paste passport size photograph Duly signed and stamped by the Issuing Doctor Form the purpose of grant of rail concession to orthopedically handicapped/paraplegic persons/ patients to be used by the Govt. Doctor This is to certify that Km./ Shri./ Smt. .................................................., whose particulars are furnished below, is a bonafide deaf and dumb person/patient and CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT. Particulars of the Orthopaedically handicapped/ Paraplegic person/ patient : 1.. Address : _________________________________________________________________ 2.. Father's/ Husband's Name : ___________________________________________________ 3.. Age : ____________________________________________________________________ 4.. Sex : _____________________________________________________________________ 5.. Nature of handicap (To be written by Doctor whether the disability is temporary or permanent) : _________________________________________________________________________ 6.. Causes of loss of functional capacity : _____________________________________________ 7.. Signature or Thumb Impression of Orthopaedically handicapped/ Paraplegic person/ patient (not necessary for those whose both hands are missing or non-functional) : ________________________________ __________________________________________________________________________ Place : _________ Date : __________ Signature of Govt. Doctor ____________________________________ Clear Seal of Govt. Hospital/ Clinic ______________________________________ Seal Containing full name and Regd. No. of Doctor * Strike out where not applicable Note: 1.. The certificate should be issued only to those deaf and dumb persons/ patients WHO CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT. The photo must be signed and stamped in such a way that Doctor's signature and stamp appears partly on the photo and partly on the certificate. 2.. In the case of temporary disability, the certificate will be valid for five years from the date of issue. In the case of permanent disability, the certificate will remain valid for (1) five years, in case of persons upto the age of 25 years, (2) ten years, in case of persons in the age group of 26 to 35 yearsw and (3) in the case of persons above the age of 35 years, the certificate will remain for whole life of the concerned person. After expiry of the period of validity of the certificate, the person is required to obtain a free certificate. A photostat copy of this certificate is accepted for the purpose of grant concession. The original certificate will have to be produced for inspection at the time of purchase of concessional ticket and during the journey, if demanded. 3.. No alteration in the form is permitted. ----- Original Message ----- From: "Amiyo Biswas" <[email protected]> To: <[email protected]> Sent: Thursday, August 18, 2011 12:31 PM Subject: Re: [AI] About Railway Concession Again. >I need it for an orthopaedically handicapped person now. Still I would >prefer the details for other categories if available. I receive requests >for such information very frequently. > > > With best regards, > Amiyo Biswas. > Cell: 9433464329 > > ----- Original Message ----- > From: "BHAWANI SHANKAR VERMA" <[email protected]> > To: <[email protected]> > Sent: Thursday, August 18, 2011 7:42 AM > Subject: Re: [AI] About Railway Concession Again. > > >> are you talking about concessions for multiple handicapped or other >> disabilities then visual. >> >> ----- Original Message ----- >> From: "Amiyo Biswas" <[email protected]> >> To: <[email protected]> >> Sent: Thursday, August 18, 2011 6:41 AM >> Subject: [AI] About Railway Concession Again. >> >> >>> Hello, >>> >>> I am sorry that I am repeating the question. Is there any circular or >>> document on concession in fair to visually impaired and other categories >>> of handicapped travellers? What are the provisions? >>> >>> With best regards, >>> Amiyo Biswas >>> Cell: +91-9433464329 >>> Search for old postings at: >>> http://www.mail-archive.com/[email protected]/ >>> >>> To unsubscribe send a message to >>> [email protected] >>> with the subject unsubscribe. >>> >>> To change your subscription to digest mode or make any other changes, >>> please visit the list home page at >>> http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in >>> >> >> >> Search for old postings at: >> http://www.mail-archive.com/[email protected]/ >> >> To unsubscribe send a message to >> [email protected] >> with the subject unsubscribe. >> >> To change your subscription to digest mode or make any other changes, >> please visit the list home page at >> http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in >> > > > Search for old postings at: > http://www.mail-archive.com/[email protected]/ > > To unsubscribe send a message to > [email protected] > with the subject unsubscribe. > > To change your subscription to digest mode or make any other changes, > please visit the list home page at > http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in > Search for old postings at: http://www.mail-archive.com/[email protected]/ To unsubscribe send a message to [email protected] with the subject unsubscribe. To change your subscription to digest mode or make any other changes, please visit the list home page at http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in Search for old postings at: http://www.mail-archive.com/[email protected]/ To unsubscribe send a message to [email protected] with the subject unsubscribe. To change your subscription to digest mode or make any other changes, please visit the list home page at http://accessindia.org.in/mailman/listinfo/accessindia_accessindia.org.in
