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Revision of Concessional forms (combined form) for all the four categories of handicapped persons and for all categories of Patients except ostomy patients

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Revision of Concessional forms (combined form) for all the four categories of handicapped persons and for all categories of Patients except ostomy patients handicapped persons (one form) and the revised Concessional form for all categories of

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भारत सरकार GOVERNMENT OF INDIA | G S रेल मंत्रालय MINISTRY OF RAILWAYS

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No. TCI/2196/11/OH/Policy Rail Bhavan, New Delhi, dt. ‘(8.96.2014

The General Manager (Commercial), All Zonal Railways.

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Sub:- Revision of Concessional forms (combined form) for all the four categories of handicapped persons and for all categories of Patients except ostomy patients.

In order to simplify the concessional forms and make them user-friendly it has been decided to have a combined concession form for all categories of disabled persons and another single form (separately for outward and return journey) for all categories of patients except ostomy patients.

The revised Concessional form (combined form) for all the four categories of handicapped persons (one form) and the revised Concessional form for all categories of Patients (except ostomy patients)- two forms i.e. One for outward and one for, return journey are enclosed.

(ce Zonal railways may print the revised forms and supply them to all concerned.

The revised forms shall come into effect w.e.f 15.07.2014.

However, the concession certificates already issued on the pre-revised forms shall continue to be valid till the expiry period of the concession certificate’s validity.

Necessary instructions should be issued to all concerned.

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\> | (Vikram Singh)

_ Director Passenger Marketing

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Concession certificate form for orthopaedically handicapped/paraplegic person/patients/mentally retarded person /completely blind person/totally deaf & dumb person

Paste passport Size photograph Duly signed

And stamped by The issuing doctor

This is to certify that KM/Shri/Smt whose particulars are furnished below is a bonafied ORTHOPAEDICALLY HANDICAPPED/PARAPLEGIC.PERSON/PATIENTS WHO CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT/MENTALLY RETARDED PERSON WHO CANNOT TRAVEL WITHOUT AN ESCORT/COMPLETELY BLIND PERSON/TOTALLY DEAF & DUMB PERSON *

Particulars:

a) Address

b)Father’s/Husband’s Name

c) Age:

d) Sex

e) Nature of Handicap: (To be written by doctor whether the disability is temporary or Permanent)

f) Signature or thumb impression

of the person seeking concession(not necessary for those with Both hands missing or non-functional)

(Signature of Government Doctor#)

Place:

Date:

Clear seal of Government Seal containing full name and Hospital# Regn .No. of the Doctor#.

*Strike out where not applicable.

For blind persons RMP/head of institution for the blind recognized can also issue certificate for blind.

Note:

1)The certificate Should be issued only to those ORTHOPAEDICALLY HANDICAPPED/PARAPLEGIC PERSON/PATIENTS WHO CANNOT TRAVEL WITHOUT THE ASSISTANCE OF AN ESCORT/MENTALLY RETARDED PERSON WHO CANNOT TRAVEL WITHOUT AN ESCORT/COMPLETELY BLIND PERSON/TOTALLY DEAF & DUMB PERSON. 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) For Mentally retarded persons/Completely blind persons/Deaf and dumb persons (both afflictions together), the certificate will be valid for five years from the date of issue. For temporary disability in the case of orthopedically/paraplegic persons, the certificate will be valid for 5 years and in case of permanent disability , the certificate will remain valid for (i) 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 years and (3) in case of persons above the age of 35 years, the certificate will remain valid for whole life of the concerned persons. After expiry of the period validity of the certificate, the person is requ

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