TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Registered Id * 21090711770638 Submit

Submitted Time: 07-Sep-2021 21:49

21090711770638

1.Student Details
1.1 Reg Id / M.R.No: 21090711770638 / MR11363396
1.2 Student Name: KAJAL KUMARI
1.3 Father/Mother's Name: MANGAL RAY
1.4 Date Of Birth 01-Sep-2003
1.5 Gender/Age : Female / 18
1.6 Address: MEDIPALLY,P AND T COLONY KAKATIYA HOSPITAL NEAR TENNIS COURT, (V), (M), HYDERABAD
1.7 Mobile No. 8789918052

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution LITTLE FLOWER DEG COLLEGE,UPPAL X ROADS [ D5862 ] 3.1 Type Of Pass: General-Student/City
Name: [Phone:9441934669]
UPPAL X ROADS@@ RR DIST. 3.2 Bus Pass Name: STUDENT GENERAL PASS MONTHLY
2.2 Institution
Address:
HYDERABAD 3.3 From Place:  --- 
2.3 Course Name: B.Com I (Comp)
3.4 To Place:  --- 
2.4 SSC Details: 7163260/2018//Regular
3.5 Via Place:   --- 

Please visit RTC UPPAL center, on 10-SEP-2021 to take your pass along with online filled and
printed application form with attestation by the Principal/Head of the Institution.
    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

Instructions to Students:
The Student is advised to visit the School/College and ensure that the Head Master/Principal/Head of the
Institution has certified and forwarded the online applied bus pass application form to TSRTC to issue bus
pass.Without forwrding the application form through online by the Head Master/Principal/Head of the
Institutions to TSRTC bus pass can not be issued.
Instructions to RTC Employee Children:
In case of Employee children pass the applicant should enclose the original declaration form and employee id
card xerox copy along with the online certified application receipt.
Instructions to School/College Management:
It is requested to forward the above student online applied bus pass application form to TSRTC after verifying
his/her credentials and bonafides duly visiting the web address https://mis.tsrtcpass.in/ by login into the
institution account with already messaged login details to respective institution mobile number. While
forwarding the application through online if you find any difficulty related to Hyderabad City Passes please
contact us on Ph:8008204216 or mail us at ghzbuspasstsrtc@gmail.com.

BONAFIDE CERTIFICATE
I here by certify that Sri/kum/Smt KAJAL KUMARI is bonafide student of LITTLE FLOWER DEG COLLEGE,UPPAL
X ROADS [ D5862 ] (Name of the Institution) studying B.Com I (Comp) class With Admission No 3202 & Roll No _________His
/Her Date of Birth is 01-Sep-2003 (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 2021-22.
This is to certify that the above student details have been verified and found correct. Hence,
forwarded through online to TSRTC to issue bus pass.

H.M/HEAD OF THE INSTITUTION/PRINCIPAL

Date:Place:
WITH STAMP & SIGNATURE.

For Office Use Only

Reg Id / M.R.No.: 21090711770638 / MR11363396 Receipt Date.: 07-Sep-2021
Center Name : RTC UPPAL Bus Pass Type Student-General/City
Student Name KAJAL KUMARI Pass Amount: ₹ 165 /-
Admission No. 3202 ID Charges: ₹ 30 /-
Route Code ---   ----- --- Total Amount: ₹ 195 /-
Pass Issued by Route Kms: 0 Km(s)
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