Download - student pass application format.pdf
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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: . Aadhar No (If available )
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 record.
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 4) Copy of the Aadhar Card ( If available please enclose)
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.
Office use only ( To be filled in by the official deployed for scrutinizing pass application)
Total distance travelled by student in KMs ______________
Total stages travelled by Student _______________________
Examined person name & signature
Affix a recent
stamp size
Photo of the
applicant with
seal & sign of
institution