7/24/2019 (732493632) Microsoft Word - Bus Pass Application
Format
1/4
APPLICATIONFOR
STUDENTBUS PASSFREE SUPPLY
( RTC-282/R)
ANDHRA PRADESH STATEROAD TRANSPORTCORPORATION
1. NAME OF THE STUDENT (Maximum 20Charactr!"# Nam
Sur$am
2. Fathr%!&M'thr%! Nam# (Maximum 20Charactr!"# NamSur$am
D D M M Y Y Y Y
. Dat ') *irth#+. Sx #
,. T- ') Pa!! # /. *u! Pa!!C' #
PHOTO
M F
. $!tituti'$C'
$!tituti'$ Nam#
3. C'ur! C' # C'ur! Nam#
4. Ami!!i'$ N'. #
10. R'ut Particu5ar!# Fr'm
6ia11. R!i$tia5
Ar!! #H.N'.Strt6i55a7
Ma$a5Di!trictPi$C'C55N'.
hr8- c5ar that th articu5ar! 7i9$ a8'9 ar tru a$ c'rrct. :i5a8i
8- th ru5!
; r7u5ati'$! ') APSRTC 7'9r$i$7 i!!u ') *u! Pa!!!.
Si7$atur ') th Ca$iat.
BONAFIDE
#
T'
7/24/2019 (732493632) Microsoft Word - Bus Pass Application
Format
4/4
NOTE# *US PASS TYPE ; CODE LST ca$ 8 '8tai$ )r'm thc'$cr$ *US
PASS C$tr!.
$!tituti'$ c'! a$ C'ur! c'! )'r T:i$ Citi! ar a9ai5a85 atAPSRTC
:8!it :::.a ! rt c . 7 ' 9 .i$
IN S T RUC TION S AN D E X A MPL E S T O FI LL I N
A PPL IC AT IO N FORM
1. A5icati'$ )'rm !h'u5 8 )i55 r'r5- a$ 57i85-:ith 85ac? i$? 'r
85u i$? 8a55 $ i$ CAPTAL LETTERS.Fi55 '$5- '$ 5ttr i$ ach 8'x
5a9i$7 '$ 8'x 8t:$:'r!. Stu$t D Car & F Rcit t' 8 $c5'!.
2. P5a! ' $'t '9r:rit '$ th A5icati'$ F'rm.
. O$5- 7'' @ua5it- a!!'rt !i h't'7rah !h'u5 8a!t '$ th A5icati'$
F'rm att!t 8- thPri$cia5 a5'$7 :ith Sa5. P5a! DO NOT STAPLE 'r i$th
h't'7rah.
+. Stu$t !tu-i$7 i$ E9$i$7 C'557 !ha55 $c5'!U$m5'-m$t Crti)icat
i!!u 8- c'$cr$ Ha ')th $!tituti'$.
,. Fr 8u! a!!! ar 5i7i85 )'r 85': 12 -ar! )'r 8'-!a$ 7ir5! 85':
13 -ar! ut' 10
th
c5a!!. Fr 8u! a!!! :i55 8 i!!u '$5- upto 30th
September.
/. Stu$t :h' ar 35 yer! "# bo$e %e ar $'t5i7i85 )'r Stu$t
C'$c!!i'$a5 *u! Pa!!.. Stu$t !ha55 $!ur th 5i7i8i5it- critria
8)'r
a5-i$7 )'r th *u! Pa!!. O$c a5icati'$ i! rBctu t' i$5i7i85
c'$iti'$! th am'u$t rmitt t'APSRTC :i55 $'t 8 r)u$.
3. Stu$t !h'u5 chc? )'r i$tica5 rri$t tic?t$um8r! '$ ri7ht t'
ha$ a$ c'mutr 7$rat$um8r at 8'tt'm ') th tic?t 8)'r 5a9i$7 thc'u$tr
i) $'t ta55i rBct th tic?t (i$ Cit- '$5-".
http://www.apsrtc.gov.in/http://www.apsrtc.gov.in/http://www.apsrtc.gov.in/
