12/22/21, 3:25 PM APSRTC BUS PASS

ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

Submitted Time: 22-Dec-2021 15:12

21122209915727

1.Student Details
1.1 Reg Id: 21122209915727

1.2 Student Name: KARADA SAI LOKESH

1.3 Father/Mother's
KARADA VENKATA SURYANARAYANA
Name:

1.4 Date Of Birth 11-Jan-2004

1.5 Gender/Age : Male / 17

plot no:MIG 2B-II D.NO:24-11-15 VINAYAKA NAGAR,VUDA

COLONY,GAJUWAKA,PEDAGANTYADA,ANDHRA PRADESH, GAJUWAKA (URBAN)(V),
1.6 Address:
GAJUWAKA (URBAN)(M),
VISAKHAPATNAM

1.7 Mobile No. 7981009161

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution Name: ANDHRA UNIVERSITY 3.1 Type Of Pass: Student-General/City

SIRIPURAMVISAKHAPATNAM 3.2 Bus Pass Name: SGBT QTLY

2.2 Institution Address: VISAKHAPATNAM
VISAKHAPATNAM
3.3 From Place: ---
2.3 Course Name: 1st year-B.Tech
3.4 To Place: ---
2.4 SSC Details: 1938110121/2019/APSSC/Regular
3.5 Via Place: ---

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 KARADA SAI LOKESH is bonafide student of ANDHRA
UNIVERSITY (Name of the Institution) studying 1st year-B.Tech (Name of the course) With Admission No 203311 &
Roll No __________ His /Her Date of Birth is 11-Jan-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 2021-2022.

Date :
PRINCIPAL
Place :

For Office Use Only

Reg Id / M.R.No./ Ack.Receipt No.: 21122209915727 / Receipt Date.: 22-Dec-2021

Center Name : GAJUWAKA Due Date

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

Student Name KARADA SAI LOKESH Pass Amount: ₹ 465 /-

Admission No. 203311 ID Charges: ₹ 50 /-

Route Code --- ----- --- Total Amount: ₹ 515 /-

Pass Issued by Route Kms: 0 Km(s)

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