TELANGANA STATE ROAD TRANSPORT CORPORATION porto or APPLICANT (PASSPORT size) [Nate teu rrtceri0w PALI FOR OME RUS ONL MINORS ND ACK OF 1) NOT HLACHBLE TAPP | |) | Route: 2) | TYPE OF BUS: 43) | DAILY KMS, 4) | DEPor 5) | REGION. 3, Father's / Husband's Name 4, Full Address for + Door No./ Flat No, Correspondence igerTFown / City Mandal Dist Pin Code 5, Telephone No. STD Code. Phone No. Mobile No. 6, Hire rate payable. (Refer Tender Schedule) Bs, per Km, (In words (Excluding HSD Component) only)7. the applicant i existing operator under hire scheme of RTC, furnish the following information: ) Bxsting bus / buses No. by Depot a ved. «) Route operating, 8. Demand draft particulars of Registration Fee (Non-refundable) and Caution Deposit: Particulars DD.No. [Date | Amount | Name OF | ae Bank Registration Fee (Non-refundable) Rs.2,000/-(DD to be draw in favor of CURRENT A/C, Dy,CAQIAO af | |__| the respective Region, a 2 | Caution Deposit 85,0007 DD iw || bedrawn in fvorof CURRENT [|B xorko are rpc | Region). I | (ORIGINAL DDs TO BE ENCLOSED ALONG WITH THE APPLICATION): Please ‘mention the Name and Application number on the back side of D.Ds. DECLARATION ‘Lam willing to operate bus on the route allotted by TSRTC as per the Terms & Conditions ‘of Tender Notification / Tender Schedule failing which I understand thatthe allotment gets ‘eancelled automatically without any further notice or correspondence. The particulars furnished above are correct. PLACE: DATE, SIGNATURE OF THE APPLICANT Note: Alleolumns ae tobe properly file. Failure to ill any column, such application be treated as INVALID. a FOR OFFICE USE ONLY ACKNOWLEDGEMENT OF REFUND OF CAUTION DEPOSIT DEMAND DRAFT Received 0.0. No. amountof Rs.50,000/-- Dated for an SIGNATURE OF THE APPLICANT