INDIAN RAILWAY CATERING AND TOURISM CORPORATION LIMITED

(A Govt of India Enterprise)

Application Form - International Tour Packages (OBT)

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1. Applicant & Package Details

Applicant's Name *

Date of Booking *

Package Name

Package Code

Package Category

Boarding From

Tour Start Date

Payment Mode

2. Passengers Details (Max 6)

3. Rooms & Occupancy Requirements

Total No. of Pax

No. of Adults

No. of Children

Rooms Required

Occupancy Types (Number of passengers in each):

Single

Double

Triple

Child with Bed

Child without Bed

4. Address & Contact Details

Full Address *

City *

Pin Code *

Passenger Mobile No. *

Alternate Mobile No.

Landline No. with STD Code

Email ID *

Identity Proof & No. (Driving License / Passport / PAN / Aadhaar) *

Contact Details (In Case of Emergency) *

How did you come to know about the package?

5. Customer Declaration & Signature

"I have been briefed about the package in detail, terms & conditions and cancellation policy mentioned in the brochure / website / requisition form. The details furnished above by me are correct and true to the best of my knowledge."

Customer Digital Signature *

(Sign above using your finger or mouse)

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