TELANGANA STATE ROAD TRANSPORT CORPORATION
Print Application Form
Registered Id
22092014039511
*
Date of
05/05/2002
Birth*
Submit
Submitted Time: 20-Sep-2022 09:26
22092014039511
1.Student Details
1.1 Reg Id / M.R.No: 22092014039511 / MR13631458
1.2 Student Name: SANIYA
1.3 Father/Mother's Name: MD ASHWAQ PASHA
1.4 Date Of Birth 05-May-2002
1.5 Gender/Age : Female / 20
1.6 Address: 19-36-B,QUTHUBULLAPUR,GAJULARAMARAM,90403 RM NAGAR, (V), (M), HYDERABAD
1.7 Mobile No. 8008107131
2.Education Particulars 3.Pass/Route Particulars
GOVT DEGREE COLLEGE,KUKTAPALLY[D5871] 3.1 Type Of Pass: General-Student/City
2.1 Institution Name:
[Phone:9154806794]
HYDERABAD 3.2 Bus Pass Name: STUDENT GENERAL PASS MONTHLY
2.2 Institution
Address:
HYDERABAD 3.3 From Place: ---
2.3 Course Name: B.Sc 1st Yr
3.4 To Place: ---
2.4 SSC Details: 1916119667/2019/APSSC/Regular
3.5 Via Place: ---
4.Student Old Registration Details
1.1 Reg Id / M.R.No: 22060213201457 / MR12794542
1.2 Old ID Card No: ID2212447042
1.3 Old Id Card
07-JUN-2022-31-MAY-2023
Validity:
1.4 Reason For Second Pass: lost id card/Ticket
Please visit RTC BALA NAGAR center, on 21-SEP-2022 to take your pass along with online filled
and printed application form .
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
For Office Use Only
Reg Id / M.R.No.: 22092014039511 / MR13631458 Receipt Date.: 20-Sep-2022
Center Name : RTC BALA NAGAR Bus Pass Type Student-General/City
Student Name SANIYA Pass Amount: ₹ 400 /-
Admission No. TI2159214335 ID Charges: ₹ 50 /-
Second Pass
Route Code --- ----- --- ₹ 100 /-
Charges
Pass Issued by Total Amount: ₹ 550 /-
Route Kms: 0Km(s)
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