TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Registered Id
23060315059339
*

16/02/2004
Date of Birth*

Submit

Submitted Time: 03-Jun-2023 21:03

23060315059339

1.Student Details
1.1 Reg Id / M.R.No: 23060315059339 / MR14651043
1.2 Student Name: P ASHWITHA
1.3 Father/Mother's Name: P C BOJANNA
1.4 Date Of Birth 16-Feb-2004
1.5 Gender/Age : Female / 19
1.6 Address: Pipri, Armoor, Nizamabad , PIPRI(V), ARMUR(M), NIZAMABAD
1.7 Mobile No. 9398719980

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution KSHATRIYA ENGINEERING COLLEGE CHEPUR PERKIT [ 14680 ]
3.1 Type Of Pass: General-Student/District
Name: [Phone:9440805818]
POSTVILL CHEPUR@@ ARMOOR 3.2 Bus Pass Name: STU DIST ROUTE PASS MTLY
2.2 Institution
ARMUR
Address:
NIZAMABAD 3.3 From Place: PIPRI
2.3 Course Name: 1st year-Btech (Cse)
3.4 To Place: CHEPUR-X-RD
2.4 SSC Details: 2005125277/2020/APSSC/Regular
3.5 Via Place: ARMOOR

Please visit ARMOOR-RTC center, on 03-JUN-2023 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 P ASHWITHA is bonafide student of KSHATRIYA ENGINEERING COLLEGE
CHEPUR PERKIT [ 14680 ] (Name of the Institution) studying 1st year-Btech (Cse) (Name of the course) With Admission No
22B41A0593 & Roll No _________His /Her Date of Birth is 16-Feb-2004 (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 2023-24.
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.: 23060315059339 / MR14651043 Receipt Date.: 03-Jun-2023
Center Name : ARMOOR-RTC Bus Pass Type Student-General/District
Student Name P ASHWITHA Pass Amount: ₹ 300 /-
Admission No. 22B41A0593 ID Charges: ₹ 50 /-
Route Code PIPRI -ARMOOR- CHEPUR-X-RD Total Amount: ₹ 350 /-
Pass Issued by Route Kms: 15 Km(s)

You are requested to take pass within 10 days from centre visit date

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