ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

REQUISITION FORM FOR RESERVATION/PREPONEMENT/
POSTPONEMENT/CANCELLATION/RETURN JOURNEY TICKET


Date of Journey ________________ _________________
Service No. ________________ Time of Departure: _________________
From(Boarding): ________________ To (Destination): _________________
No. of Full Tickets: (       ) No. of Half Tickets: (       )

Name Age Sex

1)
2)
3)
4)
 Type of concession claimed (if any)
For Preponement / Postponement / Cancellation of Journey:
From Date (                                                 ) To Date: (                                        )
Seat Nos. __________________________________________________
________________________________________________________________
For return Journey Ticket:

Choice of return Jourmey:

Day

(              )

Night

(                )
Name and Address: ___________________________________________________________________________
______________________________________________________________Ph.No._________________________
Date:________________________                                                                   Signature___________________________

(For Office Use only)

Seat Nos. Alloted______________________________                  Signature of B.C.____________________________
             Signature of Supervisor___________________________________________________________________

              (Incase of pre / Postponement / Cancellation of Journey only)