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    Bus Pass Application Format

    Uploaded by

    CherryCheran
    This document contains an application form for a student bus pass issued by the Andhra Pradesh State Road Transport Corporation (APSRTC). The application requests basic information about the student such as name, date of birth, address, institution details, and bus route. It includes instructions on properly filling out the form and eligibility requirements for receiving a free student bus pass, such as being under 12 years old for boys and under 18 years old for girls up to 10th class. The form also provides a bonafide certificate section to be completed by the head of the student's institution to verify the student's enrollment and details.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bus Pass Application Format

    Uploaded by

    CherryCheran
    9K views2 pages
    This document contains an application form for a student bus pass issued by the Andhra Pradesh State Road Transport Corporation (APSRTC). The application requests basic information about the student such as name, date of birth, address, institution details, and bus route. It includes instructions on properly filling out the form and eligibility requirements for receiving a free student bus pass, such as being under 12 years old for boys and under 18 years old for girls up to 10th class. The form also provides a bonafide certificate section to be completed by the head of the student's institution to verify the student's enrollment and details.

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    apsrtc

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    This document contains an application form for a student bus pass issued by the Andhra Pradesh State Road Transport Corporation (APSRTC). The application requests basic information about the student such as name, date of birth, address, institution details, and bus route. It includes instructions on properly filling out the form and eligibility requirements for receiving a free student bus pass, such as being under 12 years old for boys and under 18 years old for girls up to 10th class. The form also provides a bonafide certificate section to be completed by the head of the student's institution to verify the student's enrollment and details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9K views2 pages

    Bus Pass Application Format

    Uploaded by

    CherryCheran
    This document contains an application form for a student bus pass issued by the Andhra Pradesh State Road Transport Corporation (APSRTC). The application requests basic information about the student such as name, date of birth, address, institution details, and bus route. It includes instructions on properly filling out the form and eligibility requirements for receiving a free student bus pass, such as being under 12 years old for boys and under 18 years old for girls up to 10th class. The form also provides a bonafide certificate section to be completed by the head of the student's institution to verify the student's enrollment and details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FREE SUPPLY

    APPLICATION FOR
    STUDENT BUS PASS

    ( RTC-282/R )

    ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION


    PHOTO

    1. NAME OF THE STUDENT (Maximum 20 Characters):


    Name
    Surname

    2. Fathers/Mothers Name: (Maximum 20 Characters):


    Name
    Surname
    D D

    M M

    Y Y Y Y
    4. Sex :

    3. Date of Birth:
    5. Type of Pass :
    7. Institution Code:
    8. Course Code :

    6. Bus Pass Code :


    Institution Name:

    Course Name:

    9. Admission No. :
    10. Route Particulars: From

    To

    Via
    11. Residential Address :
    H.No.
    Street
    Village
    Mandal
    District
    Pin Code
    Cell No.
    I hereby declare that the particulars given above are true and correct. I will abide by the rules
    & regulations of APSRTC governing issue of Bus Passes.
    Signature of the Candidate.

    BONAFIDE CERTIFICATE
    I hereby certify that Sri / Kum / Smt. ... is a bonafide
    student of (Name of the institution) studying ... (Name
    of the course) with Admission No .... & Roll No .. His / Her Date of Birth is
    ..... (DD/MM/YY) as per office records and the course will be completed by
    . (DD/MM/YY). Educational Institute Recognition Code No . (As per
    the D.E.O. records). Course Code No ... for the Academic year ....
    Date:
    Place:

    Signature of Head of the Institution with Seal.

    Page - 2

    For Office Use Only


    DD

    MM YY

    Receipt Date:

    M.R. No./Ack.Receipt No:

    Bus Pass ID No.


    Bus Pass Ticket No:

    Pass Amount Rs.:

    Route Code :
    Pass Issued at :

    Route Kms.:

    Signature of the Issuing Authority.


    Name:
    Design:
    Date:

    Staff No:

    Signature of the Physical Verifying Authority with remarks


    Name:
    Design:

    Staff No:

    Date:

    _______________________________________________________________________________________
    NOTE: BUS PASS TYPE & CODE LIST can be obtained from the concerned BUS PASS Centers.
    Institution codes and Course codes for Twin Cities are available at APSRTC website www.apsrtc.gov.in

    INSTRUCTIONS AND EXAMPLES TO FILL IN APPLICATION FORM


    1. Application form should be filled properly and legibly with black ink or blue ink ball pen in
    CAPITAL LETTERS. Fill only one letter in each box leaving one box between words. Student
    ID Card / Fee Receipt to be enclosed.
    2. Please do not overwrite on the Application Form.
    3. Only good quality passport size photograph should be pasted on the Application Form
    attested by the Principal along with Seal. Please DO NOT STAPLE or pin the photograph.
    4. Student studying in Evening College shall enclose Unemployment Certificate issued by
    concerned Head of the Institution.
    5. Free bus passes are eligible for below 12 years for boys and girls below 18 years upto 10th
    class. Free bus passes will be issued only upto 30th September.
    6. Student who are 35 years and above age are not eligible for Student Concessional Bus Pass.
    7. Student shall ensure the eligibility criteria before applying for the Bus Pass. Once application
    is rejected due to ineligible conditions, the amount remitted to APSRTC will not be refunded.
    8. Student should check for identical preprinted ticket numbers on right top hand and
    computer generated number at bottom of the ticket before leaving the counter, if not tallied
    reject the ticket (in City only).

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