ಕ ಟಕ ಸ ರ

Sakala Acknowledgement/ಸ ಲ ೕಕೃ

Office Name /ಕ ೕ ಸರು Karnataka State Road Transport Corporation
Sakala No/ಸ ಲ ಸಂ TC001S210377307
Application Date /ಅ ಯ ಂಕ 25/02/2021
Service Requested / ನಂ ದ ೕ Issue of Student Bus Pass - KSRTC
Applicant Name /ಅ ರರ ಸರು Avinash D
Father’s Name / ತಂ ಯ ಸರು Devanna M
Gender / Male / Female / ಂಗ / ಗಂಡು / ಣು / ಗಂಡು / Male
Date Of Birth / ಹು ದ ಂಕ 04/08/2000
Class / ತರಗ Year 1
Bachegowdanahalli village, Jompanahalli post, Hampapura hobli, HD
Applicant Address /ಅ ರರ ಸ
kote taluk,Mysore
Pass Route / ಗ From Bachegowdanahalli To Dasappa circle ೕ ರುವ ಗ /
oದ Bachegowdanahalli ವ Dasappa circle
Route change of Place / ಗ ಬದ ವ ಸಳ Hommaragahalli, Mysore CBS
Caste / ST/ಪ.ಪಂಗಡ RD1038496001591
Mobile No / ೖ ಸಂ 9380048118
E-Mail ID / ಇ- ೕ Avinashaviiva@gmail.com
Counter Name / ಂಟ ನ ಸರು City Bus Station
Pass amount/ ತ Rs.150, Please Pay Concerned Couner Office while collecting Pass
Type of document(s) Document(s) Attached
Predefined Template Pre-Defined Documents
Passport size photo Passport size Photo
Aadhaar Card Aadhaar card
Proof of Residential Address Proof of Residential Address
Documents Submitted / ಖ ಗಳನು ಸ ದ
Tuition fee paid receipt. Tuition fee paid receipt.
Application form attested by the Application form attested by the
Head of the Educational Institution Head of the Educational Institution
and parents signature and parents signature
Caste certificate Caste Certificate
Payment Status / ವ Pending
Payment Mode / ವ ನ Pay only at KSRTC PASS Counter / Concerned Institutions.
Transaction ID /ವವ ರಐ Not Applicable/ಅನ ಸು ಲ
Transaction Date and Time /ವವ ರ ಂಕ Not Applicable/ಅನ ಸು ಲ
Transaction Reference Number / ವವ ರಉ ಖ ಸಂ (As applicable) Not Applicable/ಅನ ಸು ಲ
Total Amount Paid /ಒಟು ವ ದ ತ Not Applicable/ಅನ ಸು ಲ
Application Fee /ಅ ಶುಲ Not Applicable/ಅನ ಸು ಲ
Service Charge / ೕ ಶುಲ Not Applicable/ಅನ ಸು ಲ
Transaction Charge /ವವ ರ ಶುಲ Not Applicable/ಅನ ಸು ಲ

Note:

1. This service request will be processed within 7 working days. If applicant does not come to COUNTER OFFICE within 7 Days then the
application will be REJECTED. ಈ ೕ ಯ ಅ ಯನು 7 ಲಸದ ನಗಳ ೕ ಡ ಗು ದು.ಅ ರರು 7 ಲಸದ ನದ ಒಳ ಂಟ
ಬರ ದ ಅ ಯನು ರಸ ಸ ಗು ದು
2. You can check the status of this service request on website http://sevasindhu.karnataka.gov.in/, http://sakala.kar.nic.in/. ಈ ಅ ಯ ಯನು
ಯಲು http://sevasindhu.karnataka.gov.in/ ಅಥ http://sakala.kar.nic.in/ ೖ ಆ .
3. You can appeal to competent officer in case of your application is rejected/delayed/defaulted by this designated officer. ಸ ಸ ದ ಅ ಂದ
ರಸೃತ ದ / ಳಂಬ ದ / ಗ ತ ಸಮಯ ೕ ಅ ೕ ದ ಸಕ ಮ ರವನು ಸಂಪ ಸಬಹುದು