Scribd
Upload
545 views1 page

Student Bus Pass Application Above SSC Previous ID Card No (2019-20)

This document is a student bus pass application for the Andhra Pradesh State Road Transport Corporation. It collects information such as the student's 10th class details including board, year of pass and hall ticket number. It also requests personal details of the student like name, father's name, date of birth, gender, Aadhar and mobile numbers. Residential address and institution details where the student is currently studying like institution code, district, course name and year are also collected. Route details of travel like from and to districts are asked. The document needs to be signed by the head of the institution and student. It should also be accompanied by a bonafide certificate from the institution providing details of the student like name, date

Uploaded by

Allu Reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
545 views1 page

Student Bus Pass Application Above SSC Previous ID Card No (2019-20)

This document is a student bus pass application for the Andhra Pradesh State Road Transport Corporation. It collects information such as the student's 10th class details including board, year of pass and hall ticket number. It also requests personal details of the student like name, father's name, date of birth, gender, Aadhar and mobile numbers. Residential address and institution details where the student is currently studying like institution code, district, course name and year are also collected. Route details of travel like from and to districts are asked. The document needs to be signed by the head of the institution and student. It should also be accompanied by a bonafide certificate from the institution providing details of the student like name, date

Uploaded by

Allu Reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

STUDENT BUS PASS APPLICATION ABOVE SSC


Previous ID Card No (2019-20) :
1. Student 10th Details
SSC Board Type :  APSSC  CBSE  ICSE ORIENTAL APOS  OTHERBOARD

SSC Pass Type :  Regular  Supplementary


SSC Year of pass : 1.4 SSC hall ticket no :
2. Student Details
2.1 Name :
2.2 Father's/Guardian’s Photo
Name :
Date ofBirth
 Male
2.3 (dd/mm/yyyy) : 2.4 Gender :
 Female
As Per SSC

2.5 Aadhar No. : 2.6 Mobile No :


2.7 I s Employee Children :  Yes NO If Yes Enter Emp. Id:
2.8 Email :
3. Residential Address Details
3.1 District : 3.2 Mandal :
3.3 Village : 3.4 Address :
4. Institution Details
4.1 Institution Code : 4.2 District :
4.3 Mandal : 4.4 Institution Name :
4.5 Course Name : 4.6 Present Course Year :
4.7 Admission No : 4.8 Institution Address :
5. Route Details
5.1 Center : 5.2 Pass Type :
5.3 From Place District : 5.4 To Place District :
5.5 From Place: Via: To:
Enclosures: Bonafied Certificate, SSC Memo
I here by declare that the particulars given above are true and found correct. I will abide by the rules & regulations of
APSRTC governing issue of Bus Passes.

Signature of Head of the Institute Signature of the Student


-------------------------------------------------------------------------------------------------------------------------------------------------------------

BONAFIDECERTIFICATE

I hereby certify that Sri/kum/Smt is bonafide student of (Name of the

Institution) studying (Name of the course) With Admission No &Roll No His/Her

Date of Birth is (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 2020-2021.

Date:

Place: Principal

You might also like