BUS PASS FORM

Received in Central (RETIRED/ DECEASED/ SHAHEED)

Welfare Section 2 X Photos
on____________ Buss # ____________
(1 x 1)
Old Pass # _________
Pass # _________

Applicant’s Information (Father/Mother ) Students’ Profile

Name:________________________________________ Name:____________________________________

CNIC: ____________________Ex. Pl.No.____________ CNIC: _____________________________________

Fy: ______________ __Section:___________________ Institute: ______________ ___________________

Desig:_______________________________________ Class:__________________ Semester:__________

Date of Retirement:___________________________ Subjects:1)________________2)_______________

Address:_____________________________________ 3)___________________4)___________________

____________________________________________ Roll No.:__________________________________

Phone(Home):_____________ Cell #:_______________ Timing:___________________________________

Verification from Institute (by Principal or HOD)

This is certify that above named student is currently enrolled Sign & Seal of Principal or HOD
in this institute and will study up to_________, Tel No.______________
particulars given above regarding student are hereby verified. Dated:______________

Bus Pass Charges (For Central Welfare Office Use Only)

Voucher#:____________________ Amount:_____________________ Dated:________________________

Undertaking (By Father/Mother/Guardian of the Student)

I affirm that I will abide by and agree the following terms and conditions applicable for issuance of bus pass:
1. Complaints will be made direct to AM-Welfare.
2. Pass will be cancelled at any time against any misconduct by student.
3. Pass is non-transferable & will be produced as & when required by checking authority.
4. That student will travel in the bus as his/her own risk and will avail facility
in standing capacity if seat is not available.
Signature of Applicant
5. Student will not influence driver either route change or to stop bus. Name:______________________
6. Bus pass will be returned back to authority when it is no required/ expired. Desig:________Ex.Pl No.________
7. Amount once submitted will not be claimed to be refund.
8. The bus pass will be issued for 12 months w.e.f January to December. Section:_____________________
9. Bus pass will be issued subject to the availability of seat. Dated:______________________
10. Stationary Charges = Rs.10/- per form
11.

Check List / Attachments (Please attach following photocopies of the documents)

i) DO Pt-II ii) CNIC of Applicant iii) B.Form/ CNIC of student iv) Receipt of College Fee v) 2 x Photos (size 1x1)
Produce original B.Form and Receipt of college fee at the time of form submission.
Bus Pass will be issued subject to the availability of seat.