Student Bus Pass Form
Personal Details
Name*
Father Name*
Date of Birth*
Age*
Gender*
Select
Male
Female
Other
Communication Address*
City*
Pincode*
Email Address
Mobile Number
Institution details
Institution Type
Select
School
College
University
Insitution address
Bus Pass Details
From Stop*
Select
Panaji
To Stop*
Select
Badem
Route 1*
Select
R1
Route 2
Select
Proof Type of Address
Select
Aadhaar Card
Passport
Driving Licence
Upload Proof of Address
Age Proof Type
Select
Pan Card
Birth Certificate
Upload Proof of Age
From Date
Select Number of Months
1
2
3
4
5
6
7
8
9
10
11
12
To Date
Photograph
Image should be between 20KB to 50KB.
Captcha
Submit Application Form
