TELANGANA STATE ROAD TRANSPORT CORPORATION

Print Application Form

Submitted Time: 02-Nov-2023 08:46

23110216311307

1.Student Details
1.1 Reg Id / M.R.No: 23110216311307 / MR15901575
1.2 Student Name: KATTA DEEPAK
1.3 Father/Mother's Name: KATTA THIUMALAIAH
1.4 Date Of Birth 19-Nov-2002
1.5 Gender/Age : Male / 20
1.6 Address: Nandigama, NANDIGAON(V), RAMAYAMPET(M), MEDAK
1.7 Mobile No. 8520967629

2.Education Particulars 3.Pass/Route Particulars

2.1 Institution INDUR INSTITUTE OF ENGINEERING TECHNOLOGY [ 14038 ]
3.1 Type Of Pass: General-Student/District
Name: [Phone:7729993330]
PONNALA-v- 3.2 Bus Pass Name: STU DIST ROUTE PASS MTLY
2.2 Institution
SIDDIPET
Address:
MEDAK 3.3 From Place: KALVAKUNTA X ROAD
2.3 Course Name: 3rd year-Btech (Cse)
3.4 To Place: SIDDIPET
2.4 SSC Details: 1917110512/2019/APSSC/Regular
3.5 Via Place: TO

3.6 Center Visit Date: 02-NOV-2023

Please visit SIDDIPET-RTC center, on 02-NOV-2023 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 KATTA DEEPAK is bonafide student of INDUR INSTITUTE OF ENGINEERING
TECHNOLOGY [ 14038 ] (Name of the Institution) studying 3rd year-Btech (Cse) (Name of the course) With Admission No
21D31A6209 & Roll No _________His /Her Date of Birth is 19-Nov-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 2023-24.
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.: 23110216311307 / MR15901575 Receipt Date.: 02-Nov-2023
Center Name : SIDDIPET-RTC Bus Pass Type Student-General/District
Student Name KATTA DEEPAK Pass Amount: ₹ 550 /-
Admission No. 21D31A6209 ID Charges: ₹ 50 /-
Route Code KALVAKUNTA X ROAD -TO- SIDDIPET Total Amount: ₹ 600 /-
Pass Issued by Route Kms: 35 Km(s)

You are requested to take pass within 10 days from centre visit date