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    Ch. Bansi Lal University, Bhiwani: Bus Pass Application Form

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    Asjsjsjs
    1. The document is a bus pass application form for Ch. Bansi Lal University in Bhiwani, India. 2. It requests information such as the applicant's name, father's name, address, department, route details, ID proof, and fee payment. 3. The applicant must declare that the information provided is true and correct, and the department must then verify that the applicant is a regular student.

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    Download as PDF, TXT or read online from Scribd

    Ch. Bansi Lal University, Bhiwani: Bus Pass Application Form

    Uploaded by

    Asjsjsjs
    992 views1 page
    1. The document is a bus pass application form for Ch. Bansi Lal University in Bhiwani, India. 2. It requests information such as the applicant's name, father's name, address, department, route details, ID proof, and fee payment. 3. The applicant must declare that the information provided is true and correct, and the department must then verify that the applicant is a regular student.

    Original Title

    Bus Pass Form

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    1. The document is a bus pass application form for Ch. Bansi Lal University in Bhiwani, India. 2. It requests information such as the applicant's name, father's name, address, department, route details, ID proof, and fee payment. 3. The applicant must declare that the information provided is true and correct, and the department must then verify that the applicant is a regular student.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    992 views1 page

    Ch. Bansi Lal University, Bhiwani: Bus Pass Application Form

    Uploaded by

    Asjsjsjs
    1. The document is a bus pass application form for Ch. Bansi Lal University in Bhiwani, India. 2. It requests information such as the applicant's name, father's name, address, department, route details, ID proof, and fee payment. 3. The applicant must declare that the information provided is true and correct, and the department must then verify that the applicant is a regular student.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Ch.

    Bansi Lal University, Bhiwani


    Bus Pass Application Form
    Sr. No.____________ Application Type: NEW/ RENEW
    Affix one recent
    1. Name: _________________________________________________________
    passport size color
    2. Father’s Name: _________________________________________________ photo here
    3. Address: _______________________________________________________
    (Attested by HOD/
    ________________________________ PIN________________________
    In-Charge)
    4. Department: ___________________ Roll No. ___________________
    5. Phone No. _____________________ Mobile No. ________________
    6. Route: Bhiwani to ________________ Via _______________________
    7. Distance: ____________________ (KM)
    8. Duration of Pass : SIX Months____________ to ______________ Sign within the Box for
    scanning purpose
    9. ID Proof Attached: 1. Aadhar Card 2. University I Card

    10. Fee Deposited in ` _______________ Dated: ____________ (Attach receipt in Original)

    11. Old Bus Pass Number: ______________________ Dated: ________________________________


    DECLARATION:The Above information provided by me is true and correct and I shall fully responsible for the same, if it is
    found incorrect at any stage and legal action can be initiated against me. I also affirm and declare that I am not working on
    regular or temporary basis.

    (Signature of Applicant)
    Verification by the Department
    It is to verify that the above applicant Mr./ Ms.____________________________ is the regular student

    of the ________________ Department, studying in the __________ Semester and his /her application

    for the Bus pass may be considered.

    Signature of Head / In-charge (Department)


    With Seal

    Ch. Bansi Lal University, Bhiwani


    Bus Pass Application Receipt
    Sr. No.___________
    Affix one recent
    It is to certify that Application for Issue of Bus Pass received from passport size color
    photo here
    Mr./ Ms. ___________________ S/D/o Sh. ________________________
    For Bus Pass From CBLU, Bhiwani to ___________________________
    Via ______________________ from _____________ to _________________.
    This provisional receipt is valid from _____________ to ____________.

    Bus Pass Clerk In-charge (Buss Pass)


    (CBLU, Bhiwani) (CBLU, Bhiwani)

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