Professional Documents
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D D M M Y Y Y Y
3. Date of Birth: 4. Sex : M F
9. Admission No. :
Via
11. Residential Address :
H.No.
Street
Village
Mandal
District
Pin Code
Cell No.
I hereby declare that the particulars given above are true and correct. I will abide by the rules
& regulations of APSRTC governing issue of Bus Passes.
BONAFIDE CERTIFICATE
Date:
Place: Signature of Head of the Institution with Seal.
Page - 2
DD MM YY
Route Code :
Signature of the Issuing Authority. Signature of the Physical Verifying Authority with remarks
Name: Name:
Design: Staff No: Design: Staff No:
Date: Date:
_______________________________________________________________________________________
NOTE: BUS PASS TYPE & CODE LIST can be obtained from the concerned BUS PASS Centers.
Institution codes and Course codes for Twin Cities are available at APSRTC website www.apsrtc.gov.in
1. Application form should be filled properly and legibly with black ink or blue ink ball pen in
CAPITAL LETTERS. Fill only one letter in each box leaving one box between words. Student
ID Card / Fee Receipt to be enclosed.
2. Please do not overwrite on the Application Form.
3. Only good quality passport size photograph should be pasted on the Application Form
attested by the Principal along with Seal. Please DO NOT STAPLE or pin the photograph.
4. Student studying in Evening College shall enclose Unemployment Certificate issued by
concerned Head of the Institution.
5. Free bus passes are eligible for below 12 years for boys and girls below 18 years upto 10th
class. Free bus passes will be issued only upto 30th September.
6. Student who are 35 years and above age are not eligible for Student Concessional Bus Pass.
7. Student shall ensure the eligibility criteria before applying for the Bus Pass. Once application
is rejected due to ineligible conditions, the amount remitted to APSRTC will not be refunded.
8. Student should check for identical preprinted ticket numbers on right top hand and
computer generated number at bottom of the ticket before leaving the counter, if not tallied
reject the ticket (in City only).