You are on page 1of 1

TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form


Registered Id * 21102612165021 Submit

Submitted Time: 26-Oct-2021 07:51


21102612165021

1.Student Details
1.1 Reg Id / M.R.No: 21102612165021 / MR11757832
1.2 Student Name: POLOJU RAJASHEKHAR
1.3 Father/Mother's Name: POLOJU UPPALAIAH
1.4 Date Of Birth 07-Aug-2002
1.5 Gender/Age : Male / 19
1.6 Address: H no 4 21,Gurjakunta, Cherial, Warangal,Telangana, CHERIYAL(V), CHERIYAL(M), WARANGAL
1.7 Mobile No. 6300376422

2.Education Particulars 3.Pass/Route Particulars


2.1 Institution UNIVERSITY COLLEGE OF ENGINEERING TECHONOLOGY PANAGAL 3.1 Type Of Pass: General-Student/District
Name: NALGONDA [ 28936 ] [Phone:9912177528]
PANAGAL@@NALGONDA - 508001 3.2 Bus Pass Name: STU DIST ROUTE PASS MTLY
2.2 Institution
NALGONDA
Address:
NALGONDA 3.3 From Place:  MARRIGUDEM 
2.3 Course
3rd year-Btech (Eee)
Name: 3.4 To Place:  PANAGAL 
2.4 SSC
1718118752/2017/APSSC/Regular 3.5 Via Place:   NALGONDA 
Details:

Please visit NALGONDA-RTC center, on 26-OCT-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 POLOJU RAJASHEKHAR is bonafide student of UNIVERSITY COLLEGE OF
ENGINEERING TECHONOLOGY PANAGAL NALGONDA [ 28936 ] (Name of the Institution) studying 3rd year-Btech (Eee)
(Name of the course) With Admission No 4511-19-734-651 & Roll No _________His /Her Date of Birth is 07-Aug-2002 (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.: 21102612165021 / MR11757832 Receipt Date.: 26-Oct-2021
Center Name : NALGONDA-RTC Bus Pass Type Student-General/District
Student Name POLOJU RAJASHEKHAR Pass Amount: ₹ 140 /-
Admission No. 4511-19-734-651 ID Charges: ₹ 30 /-
Route Code MARRIGUDEM   -NALGONDA- PANAGAL Total Amount: ₹ 170 /-
Pass Issued by Route Kms: 10 Km(s)

PRINT

You might also like