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BMTC Bus Pass Form

This document is an application for a student concessional bus pass from the Bangalore Metropolitan Transport Corporation. It requests information such as the student's name, date of birth, address, school details, and travel information. The student and parent/guardian must sign certifying the information. The school must also sign certifying the student's enrollment. Terms and conditions specify documents required like fee receipt and ID card. The pass is non-transferable and a fee must be paid for a duplicate if lost.

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WasemBhat
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6K views

BMTC Bus Pass Form

This document is an application for a student concessional bus pass from the Bangalore Metropolitan Transport Corporation. It requests information such as the student's name, date of birth, address, school details, and travel information. The student and parent/guardian must sign certifying the information. The school must also sign certifying the student's enrollment. Terms and conditions specify documents required like fee receipt and ID card. The pass is non-transferable and a fee must be paid for a duplicate if lost.

Uploaded by

WasemBhat
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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BANGALORE METROPOLITAN TRANSPORT CORPORATION

(Students Concessional Bus Pass Application)


To be filled in Block letters
Full Name:
DoB:.Age:
Gender:
Present Postal address:.
Door #: Street:..
Locality:.pin code:.
Name of the Parent/guardian: .

Permanent address... Contact
. Tel.No: ..
. Email Address:
.
Students Requirement : Ordinary pass / Travel as you like pass / Renewal / Extension

Travel Details

Class:.. Educational Institution:
From: To:
Place of Changeover:.....Distance (in KM)..
Validity Period: . . to


Signature of Parent/Guardian Students Signature
--------------------------------------------------------------------------------------------------------------------------
Certificate from Educational Institution
The above information furnished by the student studying in our Educational Institution is true
as per our knowledge.

Students Registration No: Signature of Head of the
Institution with seal & Date

--------------------------------------------------------------------------------------------------------------------------
Terms& Conditions

Production of the following document is compulsory :
1) Original fee Receipt for the current academic year.
2) Identity Card issued by the Educational Institution. 3) 2 Photo

Rules to be followed

Pass not transferable to be produced for inspection on demand by BMTC authorities -
Rs.100/-+ fee for the balance validity period to be paid for obtaining Duplicate Pass after due Police
formalities in case of loss during the validity period.

Affix a recent
stamp size
Photo of the
applicant with
seal & sign of
institution

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