TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Registered Id
* 21121712568166
Date of Birth* 15/06/2004
Submit

Submitted
Time: 17-Dec-2021 21:24
21121712568166

1.Student
Details
1.1 Reg Id / M.R.No: 21121712568166 / MR12160878
1.2 Student Name: SHAIKDAR THIRUPATHI REDDY
1.3 Father/Mother's Name: SHAIKDAR RAJEEVAN REDDY
1.4 Date Of Birth 15-Jun-2004
1.5 Gender/Age : Male / 17
1.6 Address: Jadi malkapur village, MALKAPURJADI(V), ZAHIRABAD(M),
MEDAK
1.7 Mobile No. 9391413160

2.Education Particulars 3.Pass/Route

Particulars
2.1 Institution Name: SRI GAYATRI JUNIOR COLLEGE [ 33026 ] [Phone:9440482556] 3.1 Type Of Pass: General-Student/District
RachannapetZahherabad 3.2 Bus Pass Name: STU DIST ROUTE PASS MTLY
2.2 Institution Address: ZAHEERABAD (URBAN)

MEDAK

3.3 From Place:  JADIMALAKPUR 

2.3 Course Name: 2nd year-Inter (Cec)
3.4 To Place:  ZAHEERABAD 
2.4 SSC Details: 2016117786/2020/APSSC/Regular
3.5 Via Place:   SHEKAPUR 

Please visit ZAHEERABAD-RTC center, on 17-DEC-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 SHAIKDAR THIRUPATHI REDDY is bonafide student of SRI GAYATRI JUNIOR
COLLEGE [ 33026 ] (Name of the Institution) studying
2nd year-Inter (Cec) (Name of the course)
With Admission No
2149114879 & Roll No _________His /Her Date of Birth is 15-Jun-2004 (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.: 21121712568166 / MR12160878 Receipt Date.: 17-Dec-2021
Center Name : ZAHEERABAD-RTC Bus Pass Type Student-General/District
Student Name SHAIKDAR THIRUPATHI REDDY Pass Amount: ₹ 240 /-
Admission No. 2149114879 ID Charges: ₹ 30 /-
Route Code JADIMALAKPUR   -SHEKAPUR-
ZAHEERABAD Total Amount: ₹ 270 /-
Pass Issued by Route Kms: 20 Km(s)

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