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   APPLICATION  FORM FOR  CLAIM  REFUND  OF FREIGHT

                           OVERCHARGE  OF GOODS / PARCELS

 

               IMPORTANT INFORMATION REGARDING PREFERRING CLAIM FOR REFUND OF FREIGHT

                                        OVERCHARGES OF GOODS OR PARCELS CARRIED BY RAILWAY

 

In terms of Section 106(3) of the Railway Act , 1989, a person shall not be entitled to a refund of an overcharge in respect of goods carried by railway  unless a notice therefore has been served by him or on his behalf to the Railway Administration to which the overcharge  has been paid within 6 ( six ) months from the date of such payment or the date of such payment or the date of delivery of such goods at the destination station , whichever is later .

To be filled in by Refund Office

Received  on ___________________________________________________________

Claim No ______________________________________________________________

Whether particulars adequate ?               

                             

 

 

                                                                                             Yes           No

File No ________________________________________________________________

Year  __________________________________________________________________


 

 

APPLICATION FOR PREFERRING CLAIMS FOR REFUND OF FREIGHT OVERCHARGE OF GOODS OR PARCELS CARRIED BY RAILWAYS

Letter  No ……………………………………………                                                                    Date ………………………….

To

The Chief Commercial Manager

South Eastern Railway

14 Strand Road (9th Floor)

Kolkata – 7000001

 

Dear Sir ,

 

                                      Sub : Claims for refund of freight overcharge of Goods of Parcel Invoice / Railway 

                                          Receipt / Parcel Way Bill No ………………………………….dtd ………………………………

 

                                          from …………………………………………………………..to…………………………………....

 

                                      Under Section 106(3) of the Railways Act ,1989 , I prefer claim for refund of freight overcharge ,     

                                       particulars of which are detailed below :-

 

                               1.Station from ……………………… Station to ……………………………… Station via …………

 

                                2.Invoice and Railway Receipt / Parcel Way Bill / Luggage Ticket No …………………………

 

                                3.Description of consignment booked as shown in the Railway Receipt / Parcel Way Bill / Lt ……

 

                                4.Name of the consignor ……………………………………………………………………………….......

 

                               5.Name of the consignee ……………………………………………………………………………………

 

                              6.Name of the endorsed consignee ( if any ) ………………………………………………………………

 

                              7.Delivery Station ………………………………………………....Delivery Date …………………………..

 

                              8.a) Name of Claiment …………………………………………………………………………………........

 

                           b) Postal Address with PIN Code ………………………………………………………………………..

 

                              9.Freight collected at station Rs ……………………………………………………………………………

 

                           10.Amount claimed Rs …………………………………………………………………………………………

 

 

 

                                                                                                                                                                         Contd …… P/2

                                                                       ( 2)

 

                               11   Cause of Claim:

 

                            a.Excess collection of freight due to error in rate / weight

 

                            b.Excess collection of freight due to error in classification.

 

                            c. Excess collection of freight due to error in description.

 

                           d.Excess collection of freight due to error in routing of traffic.

 

                          e.Excess collection of freight through D/D.

 

                         f.Excess collection of punitive charges.

 

                        g.Twice collection of freights.

 

                        h.Non-granting of TIELS Rebate.

 

                        i.Excess collection of undercharges.

 

                       j.Excess collection of percentage charge

 

                      k.Excess collection of freight against sick wagon / wagons

 

                      l.Excess collection of freight for non-granting of Train Load facility

                    m.Excess collection of freight through e-payment.

 

                    n.Any other cause not mentioned above .

 

 

                                                                                            ( Please mark “” and “X” for applicable and non- applicable items )

 

                        12 Money receipt No ………………………………………………………….date……………………………………

 

                        13 Mode of Payment …………………………………………………………………………………………………....

 

                        14 Bank details with IFSC & MICR Code ……………………………………………………………………………

 

 

                                                                                                                                                                      Yours Faithfully

 

                                                                                                                                                                        Signature with

                                                                                                                                              Full Name and Address of the Consignor

                                                                                                         Recorded Consignee / endorsed Consignee / Claiment

                                                                                                                                                                 Contd ….P/3 

 

                                                                                       3

 

Enclo:

 

                         1.Copy of RR / PW Bill / Luggage Ticket .

 

                        2.Original valid Power of Attorney  on stamped paper of the appropriate value ( if claim preferred by                         authorized person / claim agent )

 

                        3.Original disclaimer certificate from the Consignor / Consignee / Endorsed Consignee as the                               case may be in the form of Affiadvit .

                         4.Original valid power of attorney and letters of subrogation. If claims are preferred by the                                          Insurance Company.

 

                       5.Original Money Receipt

 

                      6.Original other relevant documents, if any .


                  N.B.

                                    1) Claim application shall be rejected due to non – submission of any documents as mentioned   

                                         above.    




Source : South Eastern Railway CMS Team Last Reviewed on: 11-06-2015  


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