TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Registered Id
22061913301047
*

26/06/2003
Date of Birth*

Submit

Submitted
Time: 19-Jun-2022 19:47
22061913301047

1.Student
Details
1.1 Reg Id / M.R.No: 22061913301047 / MR12894097
1.2 Student Name: GOTTIPATTI AKSHAY CHOWDARY
1.3 Father/Mother's Name: GOTTIPATI RAMU
1.4 Date Of Birth 26-Jun-2003
1.5 Gender/Age : Male / 18
1-23-196/3,ROAD NO 9/2,VENKATESHWARA COLONY COLONY, SECUNDERABAD, HYDERABAD,500015, (V), (M),
1.6 Address:
HYDERABAD
1.7 Mobile No. 7993192455

2.Education Particulars 3.Pass/Route

Particulars
ST MARTINS ENGG COLLEGE, DHULAPALLY [ T3177 ]
2.1 Institution Name: 3.1 Type Of Pass: General-Student/City
[Phone:8096945566]
DHULAPALLY@@ RR DIST. 3.2 Bus Pass Name: STUDENT GENERAL PASS MONTHLY
2.2 Institution
Address:
HYDERABAD 3.3 From Place:  --- 
2.3 Course Name: B.Tech 1st Yr
3.4 To Place:  --- 
2.4 SSC Details: 1917120679/2019/APSSC/Regular
3.5 Via Place:   --- 

Please visit RTC LOTHUKUNTA center, on 20-JUN-2022

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 TSRTC
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 TSRTC to issue bus
pass.Without forwrding the application form through online by the Head Master/Principal/Head of the
Institutions to TSRTC 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 TSRTC after verifying
his/her credentials and bonafides duly visiting the web address https://mis.tsrtcpass.in/ 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 GOTTIPATTI AKSHAY CHOWDARY is bonafide student of ST MARTINS ENGG
COLLEGE, DHULAPALLY [ T3177 ] (Name of the Institution) studying
B.Tech 1st Yr class
With Admission No 21K81A05F6 &
Roll No _________His /Her Date of Birth is 26-Jun-2003 (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 2022-23.

This is to certify that the above student details have been verified and found correct. Hence,
forwarded through online to TSRTC 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.: 22061913301047 / MR12894097 Receipt Date.: 19-Jun-2022
Center Name : RTC LOTHUKUNTA Bus Pass Type Student-General/City
Student Name GOTTIPATTI AKSHAY CHOWDARY Pass Amount: ₹ 400 /-
Admission No. 21K81A05F6 ID Charges: ₹ 50 /-
Route Code ---   -----
--- Total Amount: ₹ 450 /-
Pass Issued by Route Kms: 0 Km(s)

PRINT