ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

Submitted Time: 09-Jul-2019 10:37

19070907750924

1.Student Details
1.1 Reg Id: 19070907750924

1.2 Student Name: ABISHAI G

1.3 Father/Mother's Name: WILSON BABUI G

1.4 Date Of Birth 21-Jun-1999

1.5 Gender/Age : Male / 20

37-2-56A JOHN PETA PERALA POST CHIRALA, PERALA(V), CHIRALA(M),

1.6 Address:
PRAKASAM

1.7 Mobile No. 9493613617

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution Name: BAPATLA ENGINEERING COLLEGE 3.1 Type Of Pass: Student-General/District

G.B.C ROAD@@ MAHATMAJI PURAM 3.2 Bus Pass Name: STU DIST ROUTE PASS QTLY
2.2 Institution Address: BAPATLA
GUNTUR
3.3 From Place:  CHIRALA 
2.3 Course Name: 3rd year-Btech (Civil)
3.4 To Place:  BAPATLA ENG.COLLEGE 
2.4 SSC Details: 1516119130/2015/APSSC/Regular
3.5 Via Place:   VEDULLAPALLI 

4.Enclosures
4.1 Enclosures : Bonafied Certificate,SSC Memo

I here by declare that the particulars given above are true and found correct. I will abide by
the rules & regulations of APSRTC governing issue of Bus Passes.

Signature of the candidate

BONAFIDE CERTIFICATE
I here by certify that Sri/kum/Smt ABISHAI G is bonafide student of BAPATLA
ENGINEERING COLLEGE (Name of the Institution) studying 3rd year-Btech (Civil) (Name of the
course) With Admission No 0000 & Roll No __________ His /Her Date of Birth is 21-Jun-1999
(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 2019-2020.

Date :

Place : PRINCIPAL

For Office Use Only

Reg Id / M.R.No./ Ack.Receipt No.: 19070907750924 / Receipt Date.: 09-Jul-2019

Center Name : CHIRAL BUS STATION Due Date

Bus Pass Type Student-General/District Manual MR No.

Student Name ABISHAI G Pass Amount: ₹ 385 /-

Admission No. 0000 ID Charges: ₹ 50 /-

Route Code CHIRALA   -VEDULLAPALLI- BAPATLA ENG.COLLEGE Total Amount: ₹ 435 /-

Pass Issued by Route Kms: 15 Km(s)