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BANGALORE METROPOLITAN TRANSPORT CORPORATION

To,
Managing Director
BMTC : Central Office
Bangalore .
From
Name

Application for Identity Card


( Rs. 100/-, Rs. 25/-)

Gender (M/F) :

Date of Birth/ Age :

Postal Address : Residence /Office : ------------------------------------------------------------------------------------------

Tel : Land / Mobile ----------------------------------------Signature of the Applicant.


---------------------------------For Office use -------------------------------------------I.D. Card Issued : Rs. 100/- ( Rs. 25/I.D Card No.

: .
Signature of the issuing clerk.

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