Appendix contains the description of authority or Form and the relevant provision of the rule which apply thereto for the purpose of these Rules.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 295 APPENDIX LIST OF AUTHORITIES TO BE USED DURING TRAIN WORKING Form Number Rule Number Description of Authority to be used
1. 65(a) Disconnection or Reconnection Notice.
2. 97(2)(a) Paper Line Clear Ticket
3. 103(2) (b) Shunting Order
4. 117(6) Authority To Proceed during prolonged failure of signals on double line section in Automatic Block System.
5. 136(2)(b) Authority to receive a train on an Obstructed Line
6. 137(1)(d) Authority to receive a train on a Non-signalled line
7. 138(1)(b) Authority to start from a Non-signalled line or a line provided by common departure signal.
8. 155(1) Caution Order
9. 155(6) Nil-Caution Order
10. 211(3) (a) Advance Authority to pass defective approach signals at ‘ON” position.
11. 211(3)(b) Authority to pass defective approach signals at ‘ON” position.
12. 212(1)(c) Authority to pass defective departing signals at ‘ON” or defective position
13. 218(2) Message to be exchanged between Station Mangers for introduction of Temporary Single Line Working on a double line section.
14. 218(4)(e) Authority for Temporary Single Line Working on a double line.
15. 218(5)(b) The Following Train System Authority To Proceed
16. 218(10) Authority to receive a train during Temporary Single Line Working on a double line approaching on wrong line.
17. 218(11) ( C ) Message to be exchanged between Station Mangers for restoration of normal working after Temporary Single Line Working.
18. 227(6) Authority To Proceed Without Line Clear and Proceed into an occupied block section.
19. 257(d) Motor Trolley Following Permit.
20. 259(1) Working of a Motor Trolley or Lorry or Rail Dolly on full block.
296 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 1 [See Rule 65 (a)] Dedicated Freight Corridor Railway Sr. No.----- Signal and Telecommunication Department ACKNOWLEDGEMENT OF DISCONNECTION / RECONNECTION NOTICE No.----------------- To The Station Master on duty at ----------- ----- Station/cabin.
It is proposed to disconnect the following Gears:---------------------------------------- ----------------------------------------------- --------------------------------- On ----/----/20---- From---------hour------minutes to-------- hour------minutes to attend failure / for maintenance.
Expected duration of Disconnection---------------- --------------------- Junior Engineer/Section Engineer(Signal) / Technician(Signal) Notice about disconnection received at --- hour------minutes on ----/------/--- 20---.
------------------------ Signature of Station Master Disconnection allowed/ notallowed on ----/---/20---- at ------- hour------minutes ------------------------ Signature of Station Master Disconnection will be allowed at ------- hour------minutes on --/----/---- 20---- ------------------------- Signature of Station Master Reconnected at ----------------- hour----- -minutes on -----/---/-----20---- ----------------------- Junior Engineer/Section Engineer(Signal) / Technician(Signal) Notice of reconnection received at ----- - hour------minutes on ----/---- 20---.
--------------------------------- Signature of Station Master *Fill in the details of the gear/s to be disconnected.
Form 1 [See Rule 65 (a)] Dedicated Freight Corridor Railway Sr. No.---- Signal and Telecommunication Department RECONNECTION NOTICE No. -------------- Notice for reconnecting signaling gear To The Station Master on duty at ---- ------Station.
Please note that the disconnected gear(s)referred to in notice no. ----------------- ------------------------------------ has / have been reconnected on -----/----/20----at--- hour------ minutes Signature Junior Engineer/Section Engineer(Signal) / Technician(Signal) Date ---/---/20--- Time---- hour------minutes Notice of reconnection received at ------ hour------minutes on ----/---- 20---.
Signature of Station Master Form 1 [See Rule 65 (a)] Dedicated Freight Corridor Railway Sr. No.------ Signal and Telecommunication Department DISCONNECTION NOTICE No.----------------- Notice to Station Master for disconnecting signalling gear.
To The Station Master on duty at ----------- --- station.
Please note that the following gears will be disconnected *------------------------------------- ----------------------------------------------- ------------------------------- --------------------------------------- on-----/----/20--- from ---- hour------minutes to---- hour------minutes attend failure/for maintenance.
Expected duration of disconnection)---- -------------- Junior Engineer/Section Engineer(Signal) / Technician(Signal) Date ------------ Time ----------- *Fill in details of the gears to be disconnected.
------------------------------------------- Notice about disconnection received at --- hour------minutes on --- -/------/--- 20---.
------------------------ Signature of Station Master Disconnection allowed/**not allowed on ----/---/20---- at ------- hour------minutes --------------- --------- Signature of Station Master Disconnection will be allowed at ------- hour------minutes on ----/----/---- 20----.
------------------------- Signature of Station Master ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 297 Form 2 [See Rule 97(2) (a)] Sr. No._____ Dedicated Freight Corridor Railway PAPER LINE CLEAR TICKET (Loco Pilot and Record) *UP or DN Name of Station_____________ Date __/___/20__ Time__ hour_____minutes Paper Line Clear working between ______________ station and ______________ station.
Line Clear asked by ___________________(Name of Station Master on duty) from ____________ Station Master on duty at __________________station for train No.__________*UP or DN.
Through______________________________ (Means of communication).
Last train in the block section was ______________*UP or DN, which cleared block section at___________station.
Line clear *granted or received under Private Number _____________________ (in words) _______ (in figures).
___________________________________________________________________________ * To The Loco Pilot of Train No. __________________ Line is clear and you are authorised to proceed to ______________ (station).
*Authority to pass Signal at ‘ON’ position (For Double Line only when Line clear cannot be obtained on block instrument.)
You are authorised to pass *Starter or *Intermediate Starter or *Advanced Starter at ‘ON’.
_____________ Signature of Station Master Station Stamp *Signature of Loco Pilot Date __/___/20 ____ Time___ hour------minutes *Strike out whichever is not applicable.
298 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 3 [See Rule 103(2) (b)] Sr. No.______ Dedicated Freight Corridor Railway SHUNTING ORDER (Loco Pilot, Guard and Record) Station_____________ Date __/___/20__ Time__ hour_____minutes To The Loco Pilot of Train No._______________ *UP or DOWN.
Please perform shunting as indicated below as per instructions of Station staff or Guard:
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
4. ___________________________________________________ *You are authorised to pass ___________________________________signal in the ‘ON’ position and proceed *up to or beyond **________________________signal.
***Section between _______station and _________ station is *blocked back or blocked forward. For this purpose and *Token or Tablet or Shunting Key has been extracted and kept in *safe personal custody or block instrument has been turned to ‘Train On Line’ position and locked.
_____________ Signature of Station Master Station Stamp Signature of Loco Pilot _________ Date __/__/20___ Time _____ hour------minutes Signature of Guard__________ Date __/__/20___ Time _____ hour------minutes * Strike out whichever is not applicable ** Enter Kilo meter or Signal No.
***Applies when Line is Block back or Block forward.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 299 Form 4 [See Rule 117(6)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO PROCEED DURING PROLONGED FAILURE OF SIGNALS ON DOUBLE LINE SECTION IN AUTOMATIC BLOCK SYSTEM (Loco Pilot and Record) Station _________. Date ___/___/20__.
Time__ hour_____minutes To The Loco Pilot Train No. ______________ * Up or Down.
All signals between __________ Station and _____________ Station have failed. Line Clear has been received from ________________ Station under his Private No. (In words) __________________(in figures)_______.
*You are, hereby, authorised to proceed cautiously on* Up or Down line at a speed not exceeding twenty five kilo meters per hour and further fifteen kilo meters per hour during bad weather impairing visibility and while passing over facing points.
You are also authorised to pass Automatic or Semi-Automatic or Manual Stop or Gate signals in between station ___________ and _____________station at ‘ON’ on this authority.
You shall stop outside the first Stop Signal at ______________________ Station and thereafter be guided by the instructions of the Station Master of that station.
_____________ Signature of Station Master Station Stamp I have understood the contents of this authority.
Signature of Loco Pilot __________ Date _______ Time__ hour_____minutes * Strike out whichever is not applicable.
300 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 5 [See Rule 136(2) (b)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO RECEIVE A TRAIN ON AN OBSTRUCTED LINE (Loco Pilot and Record) Station ________ Date___/____/20___ Time__ hour_____minutes To The Loco Pilot of Train No ._______________ *Up or Down.
Your train is being received on line No.(in words) ____________(in figures)________ which is obstructed.
You are hereby authorised to pass *Up or Down*Outer or Home or Routing Signals in ‘ON’ position cautiously at a speed not exceeding fifteen kilo meters per hour on being accompanied by the bearer of this Authority. You are required to bring your train to a stand observing hand danger signal being exhibited forty five meters before the obstruction.
______________ Signature of Station Master Station Stamp Signature of Loco Pilot ________________ Date __________ *Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 301 Form 6 [See Rule 137(1) (d)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO RECEIVE A TRAIN ON A NON SIGNALED LINE (Loco Pilot and Record) Station ________ Date__/___/20_____ Time__ hour_____minutes To The Loco Pilot of Train No. ______________ *Up or Down.
Your train is being received on non-signalled line No. (in words) _______________(in figures)______.
You are hereby authorised to pass *Up or Down *Outer or Home or Routing Signals in ‘ON’ position cautiously at a speed not exceeding fifteen kilo meters per hour on being accompanied by the bearer of this Authority. You are required to bring your train to a stand before stop board or fouling mark of line on which your train is being received.
_______________ Signature of Station Master Station Stamp Signature of Loco Pilot ________________ Date __________ *Strike out whichever is not applicable.
302 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 7 [See Rule 138(1) (b)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO START FROM A NON_SIGNALED LINE OR A LINE PROVIDED BY COMMON DEPARTURE SIGNAL (Loco Pilot and Record) Station ______________ Date___/___/20__ Time__ hour_____minutes To The Loco Pilot of Train No._____________________ *Up or Down.
Your train is being started from line No. (in words)__________(in figure_________ which is * a nonsignalled line or having a common departure signal.
You are authorised to pass *Starter or Intermediate Starter or Advanced Starter bearing No. ________________________ in the ‘ON’ position and leave the Yard cautiously at a speed not exceeding fifteen kilo meters per hour over the points duly accompanied by the competent Railway servant up to last set of points of line No.____(in figures) and ________________(in words).
Line clear is obtained on *Block Instrument or Approved Means of communication from _________ Station.
* Private No. received from station in advance (In words) ________________________(In figures) ____ .
Or Token or Paper line clear ticket No. ___________.
_____________ Signature of Station Master Station Stamp Signature of Loco Pilot ______________ Date ________ *Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 303 Form 8 [See Rule 155(1)] Sr. No.______ Dedicated Freight Corridor Railway CAUTION ORDER (Loco Pilot, Guard and Record) STATION _______________ Date ________ To The Loco Pilot of Train No. and Name____________.
You are hereby instructed to exercise the following speed restrictions:- Sl.
No.
Stations between Kilometers or position of Indicators if provided Speed (kilometre per hour) Cause or Remarks From To From To 1 2 3 4 5 _____________ Signature of Station Master Station Stamp Signature of Loco pilot ________________ Date ____________ Signature of Guard ________________ Date _______________ 304 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 9 [See Rule 155(6)] Sr. No.______ Dedicated Freight Corridor Railway CAUTION ORDER (Loco Pilot, Guard and Record) Station ________________ Date___/____/20____ To The Loco Pilot of Train No.___________________________ .
CAUTION ORDER NIL Up to _______________________ Station (Name of next Noticed Station or Station) _____________ Signature of Station Master Station Stamp Signature of Loco Pilot ________________ Date ___/____/20___ Signature of Guard __________________ Date ___/____/20___ ¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 305 Form 10 [See Rule 211(3) (a)] Sr. No.______ Dedicated Freight Corridor Railway ADVANCE AUTHORITY TO PASS DEFECTIVE APPROACH SIGNALS AT ‘ON’ POSITION AT _______________ STATION (Loco Pilot and Record) Station______________ Date ___________ To The Loco Pilot of Train No. ______________*Up or Down As per advice of Station Master on duty at ___________________ Station, *Up or Down * Outer or Home or Routing Home signal bearing number____________________________________ *is or are out of order.
You are hereby authorised to pass such signals at ‘ON’ on being hand signalled at the foot of Home signal at a speed not exceeding fifteen kilo meters per hour.
______________ Signature of Station Master SM Stamp __________________ Signature of Loco Pilot Date ___/___/20____ *Strike out whichever is not applicable.
306 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 11 [See Rule 211(3) (b)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO PASS APPROACH SIGNALS AT ‘ON’ OR DEFECTIVE POSITION (Loco Pilot and Record) Station _______________ Date ___/____/20__ Time ___ hour______ minutes TO The Loco Pilot of Train No.____________________ Up or Down You are hereby authorised to pass the defective * Outer or Home or Routing Home signal at ‘ON’ position at a speed not exceeding fifteen kilometers per hour.
The train will be admitted on line number (in words)______________and (figures) ____.
_____________ Signature of Station Master SM Stamp ___________________ Signature of Loco Pilot Date___/___/20______ * Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 307 Form 12 [See Rule 212(1) (c)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO PASS DEPARTING SIGNALS AT ‘ON’ OR IN DEFECTIVE POSITION (Loco Pilot and Record) Station _______________ Date ___/____/20__ Time__ hour_____minutes TO The Loco Pilot of Train No._____________ Up or Down, waiting to depart from line No._____
(1) You are hereby authorised to pass the *Starter or Intermediate Starter or Advanced Starter signals at ‘ON’ position.
*(2) Applicable for Double Line only – (In case of failure of Advanced Starter Signal or Last Stop Signal) - Line clear has been obtained on _______________(means of communication) from_____________ station. Private No. received is (in figures)________(in words) __________________ .
*(3) Applicable for Intermediate Block signal or Modified Automatic Block Signal- You are authorised to pass Intermediate Block Signal or Modified Automatic Block Signal at ‘ON’ without stopping. Line Clear has been obtained on ___________________ (means of communication) from _______________ station. Private number received is ________________ (in words) ______(in figures) ___________________ __________ Signature of Loco Pilot Signature of Station Master Station Stamp Date__________________ *Strike out whichever is not applicable.
308 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 13 [See Rule 218(2)] Sr. No.______ Dedicated Freight Corridor Railway MESSAGE TO BE EXCHANGED FOR INTRODUCTION OF TEMPORARY SINGLE LINE WORKING ON A DOUBLE LINE SECTION (A) For station proposing to introduce Temporary Single Line Working.
Date ___/___/20___ No.______________ Time_____hours_____ minutes From Station Master ____________ station To Station Master ____________ station
(1) Temporary Single Line Working is proposed to be introduced on *Up or Down line between __________and ___________station due to _____________________________________.
* (2) _________________stations shall be closed during Temporary Single Line Working.
(3) Obstruction on * Up or Down exists at ___________________kilometer
(4) Last train No. _________ * Up or Down over the line on which Temporary Single Working is been introduced has arrived at my station at ________________hrs.
Private No. ______________(in words)_________________(in figures).
_____________ Signature of Station Master (B) For station acknowledging Temporary Single Line Working From Station Master ____________ station To Station Master ____________ station Refer your message no. _____________________. I have understood that Temporary Single Line Working is proposed to be introduced on *Up or Down line between __________and ___________stations due to ___________________________________________. Last train No. __________* Up or Down left my station on the line on which Temporary Single Working is being introduced has arrived complete at your station.
Private No. ______________ (in words)_________________(in figures).
_____________ Signature of Station Master *Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 309 Form 14 [See Rule 218(4) (e)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY FOR TEMPORARY SINGLE LINE WORKING ON DOUBLE LINE (Loco Pilot, Guard & Record) Station _________ Date ___/___/20___ To: The Loco Pilot of Train No.___________________ UP or DOWN
(1) LINE CLEAR TICKET The line is clear and you are authorised to proceed on Up or Down Line up to _____________station, Private No. received from station in advance is (in words)_____________________(in figures)_____.
(2) AUTHORITY TO PASS SIGNALS IN ‘ON’ POSITION You are authorised to pass *Starter or Intermediate Starter or Advanced Starter Signals bearing Nos.
__________________________at ‘ON’.
* Observe hand signal at the foot of the 1 st starter signal.
* You are authorised to pass signals of intermediate ______________________station at ‘ON’ which has* or have* been closed temporarily for single line working.
* Your train shall start from the line not provided with departing signals. Start on being piloted by the railway servant on duty at station.
(3) CAUTION ORDER * (i) Your train is going on *Right line or Wrong line. The obstruction exists at kilometers ________on *Up or Down line. Switch On flasher light when proceeding on Wrong line.
* (ii) You have to inform the Gate men and Trackman enroute regarding Introduction of single line working on *Up line or Down line.
*(iii) Your Train is the First Train to work under Temporary Single Line working. Speed of your train shall be restricted to twenty five kilometers per hour subject to observance of other speed restriction in force.
*(iv) Observe “Neutral section” on the line on which your Train is going. (For electrified section).
*(v) *There are no Trap Points on the line in question or Trap points have been clamped or cotter bolted or spiked.
* (v) Following are the caution Orders in force in Block Section- Sr No Station between KILOMETRAGE Speed (Kilometer per hour) Cause or Remarks From To From To 1 2 ____________ Signature of Station Master Station Stamp I /We have understood the contents of this authority.
___________________ _____________ Signature of Loco Pilot Signature of Guard *Strike out whichever is not applicable.
310 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 15 [See Rule 218(5) (b)] Sr. No.______ Dedicated Freight Corridor Railway THE FOLLOWING TRAINS SYSTEM AUTHORITY TO PROCEED (Up or Down) Train No.________________Up or Down Date ______________________ Time ___________________ Hours _________________________ Minutes.
From ___________________ Station, To _____________________ Station.
To Loco Pilot
(1) You are hereby authorized to proceed with your train from ___________________ station to _____________________ station *(2) Train No. ____________ ahead of your train left this station at _________________ hours _______________ Minutes.
*(3) Train No. _______________shall follow your train from this Station at _________ hours _________________ minutes.
*(4) You are required to observe a speed restriction of _______________ kilometers per hour.
Signed __________________ Station Master at __________ (Station stamp) Signature of the Loco Pilot at __________________ station.
*Strike out whichever is inapplicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 311 Form 16 [See Rule 218(10)] Sr. No.______ Dedicated Freight Corridor Railway AUTHORITY TO RECEIVE A TRAIN DURING TEMPORARY SINGLE LINE WORKING ON DOUBLE LINE APPROACHING ON WRONG LINE (Loco Pilot and Record) Station ________ Date__/____/20____ Time ______hours _________ minutes To The Loco Pilot of Train No.________ *Up or Down.
Your train will be received on line No. (in words) _____________(in figures)______.
You are hereby authorised enter cautiously at a speed not exceeding fifteen kilometers per hour on being accompanied by the bearer of this Authority.
______________ Signature of Station Master Station Stamp Signature of Loco Pilot ________________ Date __________ 312 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 17 [See Rule 218(11) (c)] Sr. No.______ Dedicated Freight Corridor Railway MESSAGE TO BE EXCHANGED FOR RESTORATION OF NORMAL WORKING AFTER TEMPORARY SINGLE LINE WORKING (A) For station proposing to restoring normal Working.
Date ___/___/20___ No.______________ Time_____hours____ minutes From Station Master ____________ station To Station Master ____________ station * (1) Normal Working shall be introduced between __________and ___________station after arrival of train No.______ at your station.
*(2) Normal Working shall be introduced between __________and ___________station after train No.______ arrived at my station at ________hrs.
(3) The obstruction on *Up or Down line at Km _________________has been removed as per information received from _________________vide No. ________________.
Private No. ______________(in words)_________________(in figures).
_____________ Signature of Station Master (B) For station acknowledging normal working From Station Master ____________ station To Station Master ____________ station *(1) Refer your message no. _____________________. Train No. _______ has arrived complete at my station at ______hours. Normal working shall be restored on *Up or Down line between __________and ___________stations.
*(2) Refer your message no. _____________________. Train No. _______ which left last has arrived your station complete at ______hours. Normal working shall be restored on *Up or Down line between __________and ___________stations.
Private No. ______________(in words)_________________(in figures).
_____________ Signature of Station Master *Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 313 Form 18 [See Rule 227(6)] Sr. No.______ Dedicated Freight Corridor Railway *UP or DOWN AUTHORITY TO PROCEED WITHOUT LINE CLEAR AND PROCEED INTO AN OCCUPIED BLOCK SECTION (Loco Pilot, Guard and Record) Station _____________ Date: ___/____20__. Time __ hours___ minutes To: Loco Pilot of Train No______________
(1) This order is being given due to Obstruction of UP or DN line between__________ Station and ___________station at Kilometers__________.
(2) You are hereby authorised to proceed cautiously without Line clear. From ___________ station up to kilometers _________on *UP or DOWN Line with your Train.
(3) You shall bring your Train to a stop short of kilometers _______ and thereafter be guided by the instructions from the Competent Authority at the site.
(4) You shall clear the section at station ___________________ AUTHORITY TO PASS SIGNALS AT ‘ON’ POSITION
(1) *You are authorised to pass the Signals No. and description ________________, at ‘ON’ position or *start from the line not provided with departing signals at a speed not exceeding fifteen kilometers per hours observing hand signals at the foot of the first starting signal.
CAUTION ORDER
(1) You are permitted to work your Train upto kilometers ________ between Station __________and _________stations with the speed of twenty five kilometers per hour when view ahead is clear and ten kilometers per hour at night or when view ahead is not clear or when brake-van is leading.
(2) Caution Orders in force in the Block Section are as under:- Sl. No. Station between Kilometrage Speed (kilometre per hour) Cause or Remarks From To From To 1 2 _____________ Signature of Station Master Station Stamp I have understood the contents of this authority.
Signature of Loco Pilot_________________ Signature of Guard_______ *Strike out whichever is not applicable.
314 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] Form 19 [See Rule 257(d)] Sr. No.______ Dedicated Freight Corridor Railway MOTOR TROLLEY FOLLOWING PERMIT (Original and Duplicate) Station _____________ Date ___/__/20___.
From Station Master______________ To _____________ (Officer-in-charge) Motor Trolley No.______.
You are hereby being permitted to follow *Train No.__________ or Motor Trolley No.________ in the block section upto______________Station.
The Train No.__________/Motor Trolley No.________ left this station at___ hours ____minutes You are also authorised to pass *Up or Down_________ signals at ‘ON’ position.
On arrival at ___________________ Station you are required to hand over this permit to Station Master on duty.
Private No. received (in words)______________(in figures)_______.
______________________ Signature of Station Master Station Stamp Received ____________ Signature of *{Official Incharge and Designation} ______________.
{Motor Trolley Driver} *Strike out whichever is not applicable.
¹Hkkx IIµ[k.M 3(i)º Hkkjr dk jkti=k % vlk/kj.k 315 Form 20 [See Rule 259 (1)] Dedicated Freight Corridor Railway Sr. No.______ WORKING OF A * MOTOR TROLLY or LORRY or RAIL DOLLY ETC. ON FULL BLOCK.
RECORD Date __/__/20__ Time __ hour ___minutes No. ___________ To The Station Master _________ **___________No.____ is required to work between ___ station and ________station on Up or Down line from ___ hour__ minutes to__ hour __ minutes on full block. The Section will be cleared at ______ station at ___hour ___minutes ________________________ Signature of Official In Charge *The block cannot be permitted or will be granted after passage of Train No. ________ * UP or DOWN.
*The UP or DOWN Line has been blocked for your **___________and block will be removed only on receipt of the removal report of **___________ No. Token or Tablet or Paper Line Clear Ticket No. _____ issued to you.
Private Number___________ (in words)___(in figures).
You are advised to ensure clearance of Block Section within Block permitted.
_______________________ Signature of Station Master Station Stamp Date __/__/20__Time __hour__ minutes Reference: No. ___________ **___________ No._____has arrived at ______ station at ____hour ___ minutes / has been removed from the track at kilometers ______. Block section is clear and free from obstruction. Token or tablet or Paper Line Clear Ticket no. is being surrendered to Form 20 [See Rule 259 (1))] Dedicated Freight Corridor Railway Sr. No.______ WORKING OF A * MOTOR TROLLY or LORRY or RAIL DOLLY ETC. ON FULL BLOCK REMOVAL REPORT No. ___________ To The Station Master ______ **___________No.
___________ has arrived at _____________ station at ___ hour ___minutes has been removed from the track at km ______. Block section is clear and free from obstruction. Token or Tablet or Paper Line Clear Ticket No. is being surrendered to resume normal Train Working..
_______________ Signature of official-in-charge Removal report received at ____ hour ___minutes on date ___/____/20__.
______________ Signature of SM Station Stamp *Strike out whichever is not applicable.
**Push or Cycle or Moped or Motor Trolly or Rail Dolly or Ladder Trolly etc. whichever is applicable to be filled.
Form 20 [See Rule 259 (1)] Dedicated Freight Corridor Railway Sr. No.______ WORKING OF A * MOTOR TROLLY or LORRY or RAIL DOLLY ETC. ON FULL BLOCK NOTICE FOR WORKING To The Station Master _________ **___________No. ___________ is required to work between _______ station and ___________station on *Up or Down /_________line from __ hour ___minutes to__ hour ___minutes on full block.
The Section will be cleared at ______ station at ___ hour ___minutes _________________________ Signature of official-in-charge Date __/__/20___Time __ hour ___minutes.
*The block cannot be permitted or will be granted after passage of Train No. ________________ * UP or DOWN.
*The UP or DOWN Line has been blocked for your **No. ________ and block will be removed only on receipt of the removal report of **________No.____ Token or Tablet or Paper Line Clear Ticket No. _____ issued to you.
Private Number___________ (in words) ______(in figures).
You are advised to ensure clearance of block section within block permitted.
_____________ Signature of Station Master Station Stamp Date__/__/20__ 316 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] resume normal Train Working.
________________________ Signature of official-incharge Removal report received at ____ hour ___minutes on date ___/____/20__.
_____________ Signature of Station Master Station Stamp *Strike out whichever is not applicable.
**Push or Cycle or Moped or Motor Trolly or Rail Dolly or Ladder Trolly etc. whichever is applicable to be filled.
Time__ hour ___minutes _________________________ Signature of official-in-charge Date __/__/20___ Time __ hour ___minutes *Strike out whichever is not applicable.
**Push or Cycle or Moped or Motor Trolly or Rail Dolly or Ladder Trolly etc. whichever is applicable to be filled.
[F. No. 2010/Safety (A&R)/19/17] GIRISH PILLAI, Member Traffic, Railway Board, Ex.-Officio Secy.
Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.
2018-08-14T18:00:35+0530 ALOK KUMAR