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Bus Pass Form

Instruction :

All (*) marked are mandatory

If you are existing user, Please check your prefilled data.

Personal Details

Which type of pass do you want *

e-Bus Pass Conventional(Printed) Bus Pass

Name *

Father's Name *

Date Of Birth *

Age (Age should be greater than 5 years)

Gender *

Communication Address *(Special Character not allow)

City *

Pincode *

Select Region*

Email Address

Mobile Number *

Bus Pass Details

Select Category of Bus Pass *

Select type of general bus Pass *

Select type of concessional bus Pass *

Address Proof Type*

Address Proof Document*

Sample Copy Of two sided document

Age Proof Type*

Age Proof Document*

Disability Certificate issued by Goverment Hospital *

Identity Card issued by SDM for disable person *

Degree Of Disability :
1. Ortho: 40% or above. 2. Blind: 1/60 to 6/60 Both eyes. 3. Deaf And Dumb: 60 Decible 4. Mental Disorder: 40% or above

School Code Click Here

School (Name & Address)

Class *

Roll Number *

Duly filled pass application form attested by authorised signatury of the insititute *

Fee Receipt of the corresponding period *

From Place*

To Place *

Route Number 1 *

Route Number 2 *

Certificate Of Award (Bharat Ratan, Padam Vibhushan, Padam Shree) *

Upload PRS/AAY Card *

Certificate Issued By Rajsainik Board GNCTD / Ministry Of Defence *

Identification Letter from Concerned MP/MLA on his letter Head with attested photo *

Identification Proof Document*

Pension Payment Order under "Swatantra Sainik Samman" Scheme *

Accredition Card *

Certificate (Diploma)Issued By Sports Authourity of India / Host Country for representing India in Asian/Olympic Games *

From Date *

Select Number Of Month*

To Date

Amount

Photograph* (Image between 20kb to 50kb)

Sample Photo

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