TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Registered Id
21120712516064
*

Date of 22/03/2005
Birth*

Submit

Submitted
Time: 07-Dec-2021 21:01
21120712516064

1.Student
Details
1.1 Reg Id / M.R.No: 21120712516064 / MR12108776
1.2 Student Name: UDUTHALA SRIDHAR
1.3 Father/Mother's Name: U JANGAIAH
1.4 Date Of Birth 22-Mar-2005
1.5 Gender/Age : Male / 16
1.6 Address: 1-99, (V), (M),
HYDERABAD
1.7 Mobile No. 7569416600

2.Education Particulars 3.Pass/Route

Particulars
2.1 Institution SREE DATTHA INST OF ENG AND SCI , SHERIGUDA [ T3208 ] 3.1 Type Of Pass: General-Student/District
Name: [Phone:8801099910]
SHERIGUDA@@ IBPM 3.2 Bus Pass Name: STU DIST ROUTE PASS MTLY
2.2 Institution

Address:
HYDERABAD 3.3 From Place:  MAAL 
2.3 Course Name: Diploma 1st Yr
3.4 To Place:  SHERIGUDA 
2.4 SSC Details: 2129114452/2021/APSSC/Supplementary
3.5 Via Place:   IBRAHIMPATNAM 

Please visit RTC IBRAHIMPATNAM center, on 08-DEC-2021

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 UDUTHALA SRIDHAR is bonafide student of SREE DATTHA INST OF ENG AND
SCI , SHERIGUDA [ T3208 ] (Name of the Institution) studying
Diploma 1st Yr class
With Admission No 21290-EC-048 & Roll
No _________His /Her Date of Birth is 22-Mar-2005 (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 2021-22.

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.: 21120712516064 / MR12108776 Receipt Date.: 07-Dec-2021
Center Name : RTC IBRAHIMPATNAM Bus Pass Type Student-General/District
Student Name UDUTHALA SRIDHAR Pass Amount: ₹ 330 /-
Admission No. 21290-EC-048 ID Charges: ₹ 30 /-
Route Code MAAL   -IBRAHIMPATNAM-
SHERIGUDA Total Amount: ₹ 360 /-
Pass Issued by Route Kms: 30 Km(s)

PRINT