CHRIST ACADEMY, KOPARKHAIRNE, NAVI MUMBAI

BUS FACILITY ENROLMENT FORM

(Academic Year 2022-2023)

Form No: ______ Date ……………...

(for office use)
Name of the child: ….………….……………………………...………………
Date of Birth:……………………………….Blood Group…………………….
Section: ………………… Class: ………… Div: …….…. Roll No: ………….
Pick-up and Drop off at ………………………………………………...……
Drop-off Destination (If one way) ………………………………………………
Email: ……………………………………………………………………………
Phone:…………………………………………………………………………….
Address:
…………………………………………………………………….….
…………………………………………………………………….….
…………………………………………………………………….….
Respected Principal,
I would like to avail of the bus facility for the transportation for my son/daughter
to school and back/ one way and I am willing to abide by the rules and regulations
of the institution as stated overleaf.

Name of Parent: ……………………………………………..

Signature of Parent: ………………………………………….

OFFICE USE:
Amount Paid: ______________________ Receipt No. _______________
Starting date: ______________________ Total Months: _____________

Signature of staff in charge:

I agree to abide by the rules and regulations as mentioned below.

Rules & Regulations:

1. No Registration fee will be applicable for registrations on or before 31st May

2022.
2. A Registration Fee of Rs 2000/- , will be applicable for those registrations after
May 31st 2022.
3. One month bus fees to be paid along with the registration form and registration fee
(if registered after 31st May 2022.) for availing bus facility. Balance fees will be
collected separately. In case of cancellation, the amount paid will not be refunded.
4. Bus fees to be paid in two instalments (June/November) as per the route.
5. One way Facility is also available with 60% charges.
6. Cheques to be drawn in favour of “VISESA” and submit to the school office
(Office Timing-8.30 a.m. to 10.30 a.m.)

DESTINATION AMOUNT- Per Month AREA

Vashi 1100/-
Vashi 1150/- Sector 17 APMC
Sanpada 1250/- Near Vashi Station
Koparkhairne 1050/- Sector 1 to 13
Koparkhairne 950/- Sector 14 to 19A,19B,20
Ghansoli 1100/- Sectors 1 -9
Ghansoli 1150/- Sector 16
Turbhe 1250/-
Mahape 1150/-
The following two destinations the amount depends on the number of students

DESTINATION Amount if less than 10 Amount if more

students than 10 students
Airoli Railway Station Rs 2000/- Rs 1700/-
Shilphata Rs 2000/- Rs 1700/-

PRINCIPAL