BANGALORE METROPOLITAN TRANSPORT CORPORATION

(Student’s Concessional Bus Pass Application)

To be filled in Block letters

Full Name: ……………………………………………………………… Affix a recent

Stamp size
DOB:……………………….…………Age:……………………
Photo of the
Gender: ………………………………Blood Group:…………………………. applicant
Postal address:……………………………………………………….………
Door #:………………………… Street:……………..
Locality:……………………….Pin code:…………….
Name of the Parent/guardian: …………….

Permanent address………………... In case of Emergency to

………………………………. Contact Tel.No: ………………..
……………………………….
……………………………….

Kind of Pass Student Required : Fresh/Renewal/ Travel as you Like

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Travel details
Institution Code :

Class:…………………….. Educational Institution:…………………

From:………………………Code To:………………………Code:
Place of Changeover:……………………………Code : …………......
Validity Period: …………….to………………………………..

Signature of Student’s Signature

Parent/Guardian
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Certificate from Educational Institution
The above information furnished by the student studying in our Educational Institution is correct as per
our records. Institution Code :

Student’s Registration No: Signature of Head of the

Institution with seal & Date
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Terms& Conditions

Documents to be produced along with Pass application:

1.Original fee Receipt for the current academic year.
2. Identity Card issued by the Educational Institution.
3. Students attending Institutes recognized or aided by the GOK/GOI imparting Education/training in
disciplines like Dance, Music, tailoring (Apparel designing), Film technical training, Typewriting &
shorthand, Commuter training etc are not eligible for availing BMTC’s Student concessional pass.
Rules to be followed
This Pass is highly subsidized - It is not Transferable – It should be produced for inspection on demand -
Rs.100/-+ balance validity period to be paid for issue of Duplicate Pass after due Police formalities in case
of loss during the validity period.