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TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Submitted Time: 23-Dec-2024 22:13


24122317513033

1.Student Details
1.1 Reg Id / M.R.No: 24122317513033 / MR17103973
1.2 Student Name: SANJAY
1.3 Father/Mother's Name: RAVI
1.4 Date Of Birth 09-Nov-2006
1.5 Gender/Age : Male / 18
1.6 Address: BAKSHIGUDA 2-24/21, (V), (M), HYDERABAD
1.7 Mobile No. 6302835755

2.Education Particulars 3.Pass/Route Particulars


SRI CHAITANYA JR COLLEGE,TARNAKA [ J5228 ]
2.1 Institution Name: 3.1 Type Of Pass: General-Student/City
[Phone:9177548768]
TARNAKA--HYDERABAD 3.2 Bus Pass Name: STU CITY ROUTE PASS QTLY
2.2 Institution
Address:
HYDERABAD 3.3 From Place: HOUSING BOARD MOULALI
2.3 Course Name: Inter 1st Year
3.4 To Place: TARNAKA
2.4 SSC Details: 2321121549/2023/APSSC/Regular
3.5 Via Place: TO

3.6 Center Visit Date: 24-DEC-2024

Please visit RTC TARNAKA center, on 24-DEC-2024 to take your pass along with online filled and
printed application form with attestation by the Principal/Head of the Institution.
I here by declare that the particulars given above are true and correct. I will abide by the rules &
regulations of TGSRTC governing in issual of Bus Passes.

SIGNATURE OF THE STUDENT


Instructions to Students:
The Student is advised to visit the School/College and ensure that the Head Master/Principal/Head of the
Institution has certified and forwarded the online applied bus pass application form to TGSRTC to issue bus
pass.Without forwrding the application form through online by the Head Master/Principal/Head of the
Institutions to TGSRTC bus pass can not be issued.
Instructions to RTC Employee Children:
In case of Employee children pass the applicant should enclose the original declaration form and employee id
card xerox copy along with the online certified application receipt.
Instructions to School/College Management:
It is requested to forward the above student online applied bus pass application form to TGSRTC after verifying
his/her credentials and bonafides duly visiting the web address https://mis.tgsrtcpass.com/ by login into the
institution account with already messaged login details to respective institution mobile number. While
forwarding the application through online if you find any difficulty related to Hyderabad City Passes please
contact us on Ph:8008204216 or mail us at ghzbuspasstsrtc@gmail.com.

BONAFIDE CERTIFICATE
I here by certify that Sri/kum/Smt SANJAY is bonafide student of SRI CHAITANYA JR COLLEGE,TARNAKA [ J5228
] (Name of the Institution) studying Inter 1st Year class With Admission No 235176764 & Roll No _________His /Her Date of
Birth is 09-Nov-2006 (DD-MM-YYYY) as per office records and the course will be completed by _______
(DD/MM/YYYY).Educational Institute Recognition Code No _________ (As per the D.E.O. records). Course Code No ________ for the
Academic year 2024-25.
This is to certify that the above student details have been verified and found correct. Hence,
forwarded through online to TGSRTC to issue bus pass.

H.M/HEAD OF THE INSTITUTION/PRINCIPAL


Date:Place:
WITH STAMP & SIGNATURE.

For Office Use Only


Reg Id / M.R.No.: 24122317513033 / MR17103973 Receipt Date.: 23-Dec-2024
Center Name : RTC TARNAKA Bus Pass Type Student-General/City
Student Name SANJAY Pass Amount: ₹ 600 /-

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