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Above SSC Applicationform

This document is an application for a student bus pass from the Andhra Pradesh State Road Transport Corporation. It collects information such as the student's SSC (10th standard) board and year of passing, personal details like name, father's name, gender and date of birth, address, institution details including name and course, and route details from and to which the pass will be used. The student and head of the institution must sign to declare that the particulars are true and that the applicant will abide by APSRTC rules regarding bus passes. A bonafide certificate from the head of institution is also required confirming the student's enrollment and course details.

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985 views1 page

Above SSC Applicationform

This document is an application for a student bus pass from the Andhra Pradesh State Road Transport Corporation. It collects information such as the student's SSC (10th standard) board and year of passing, personal details like name, father's name, gender and date of birth, address, institution details including name and course, and route details from and to which the pass will be used. The student and head of the institution must sign to declare that the particulars are true and that the applicant will abide by APSRTC rules regarding bus passes. A bonafide certificate from the head of institution is also required confirming the student's enrollment and course details.

Uploaded by

capital 944
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
  • Student Bus Pass Application Form

ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

STUDENT BUS PASS APPLICATION ABOVE SSC


Previous ID Card No (2018-19) :
1. Student 10th Details
1.1 SSC Board Type : 
APSSC 
CBSE 
ICSE APOS 
ORIENTAL OTHERBOARD

1.2 SSC Pass Type : 


Regular 
Supplementary
1.3 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 2019-2020.

Date:

Place: Principal

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