__________________ [Rail Card Number]
Valid from ___________ [date from which the validity begins] until _____________ [date on which the validity ends]
[Passport photo of the student with the stamp of the railways on it]
Issued to: ________ [name of the student]
Address: ______________ [address at which the student stays]
Issued at: __________ [name of the city where the rail card is issued]
______________ [rail card and number]
I agree to follow the rules and regulation of the railways.
_____________
Signature