TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Submitted Time: 03-May-2024 10:27

24050316715391

1.Student Details
1.1 Reg Id / M.R.No: 24050316715391 / MR16305639
1.2 Student Name: DAWKE KOYALKAR GANESH
1.3 Father/Mother's Name: DAWKE KOYALKAR RAJESH
1.4 Date Of Birth 11-Sep-2005
1.5 Gender/Age : Male / 18
1.6 Address: KURMA BASTHI- JIYAGUDA, (V), (M), HYDERABAD
1.7 Mobile No. 8309800125

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution PRAGATHI MAHAVIDYALAYA DEG COLLEGE OF COMMERCE SCIENCE HANUMANTEKDI KANDASWAMY 3.1 Type Of Pass: General-Student/City
Name: LANE HYD[D0573] [Phone:9849964373]
2.2 Institution H-NO-HANUMANTEKDI-- KANDASWAMY LANE-- HYD HYDERABAD
3.2 Bus Pass Name: STUDENT GENERAL PASS MONTHLY
Address: HYDERABAD
3.3 From Place: ---
2.3 Course Name: B.B.A Ist Year
3.4 To Place: ---
2.4 SSC Details: 2122203454/2021/APSSC/Regular
3.5 Via Place: ---

4.Student Old Registration Details

1.1 Reg Id / M.R.No: 23080215762722 / MR15353454
1.2 Old ID Card No: ID2314734879
1.3 Old Id Card 05-AUG-2023-31-MAY-2024
Validity:
1.4 Reason For Second Pass: lost id card/Ticket

Please visit RTC AFZALGUNJ center, on 04-MAY-2024 to take your pass along with online filled and
printed application form .
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

For Office Use Only

Reg Id / M.R.No.: 24050316715391 / MR16305639 Receipt Date.: 03-May-2024
Center Name : RTC AFZALGUNJ Bus Pass Type Student-General/City
Student Name DAWKE KOYALKAR GANESH Pass Amount: ₹ 400 /-
Admission No. 4438 ID Charges: ₹ 50 /-
Route Code --- ----- --- Second Pass
Charges ₹ 100 /-
Pass Issued by Total Amount: ₹ 550 /-
Route Kms: 0Km(s)

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