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Above SSC Applicationform

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 standard details, personal information, residential address, institution details, and route details. The student and head of the institution must sign to declare that the information provided is true and correct. A bonafide certificate from the principal of the educational institution is also required, stating the student's name, date of birth, admission details, and duration of the course.

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899 views1 page

Above SSC Applicationform

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 standard details, personal information, residential address, institution details, and route details. The student and head of the institution must sign to declare that the information provided is true and correct. A bonafide certificate from the principal of the educational institution is also required, stating the student's name, date of birth, admission details, and duration of the course.

Uploaded by

manikantamani020
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

ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

STUDENT BUS PASS APPLICATION ABOVE SSC


Previous ID Card No (2022-23) :
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 2023-2024.

Date:

Place: Principal

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