REGISTRATION FORM                                                                                                                                   * Mandatory
To be filled by IATA/TAAI Agents requesting for Online Booking through
www.irctc.co.in
[To be submitted in Hard Copy & Soft Copy]
Company Name *                 
Person Representing Company
First Name *                 
Middle Name                 
Last Name *                 
Date Of Birth*
Office Address *                 
City *
Other city *
State *
Pin code *
Country*
Phone Number *                 
Fax Number *                 
Email Id *                 
Contract Begin Date *                 
Contract End Date *                 
Demand Draft No. *                 
Date of issue *                 
Drawn on the Bank*                 
IATA/TAAI User Name
As in his Digital Certificate *		                 
Certification Authority Name*                 
Digital Certificate*                 
Serial Number*                 
Drawn on the Bank*                 
 
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