Application form for school bus

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					 DE                 DEFENCE HOUSING AUTHORITY
                           (APPLICATION FORM FOR SCHOOL VAN / BUS PASS)



1.    Name of Student :__________________________________________________
                                         (in block letters)
                    Male     Female
2.    Gender:                                                               PHOTO
                                                                          (1.5” X 1.5”)
                                                                         One Photograph
3.    Student’s Age :___________ 4.      Blood Group : ___________

5.    Name of School / College & Location : __________________________

      ________________________________________________________________

6.    School Timings: On ______ Off _______

7.    Parents / Guardians / Husband’s Name / Occupation :_____________________

      ________________________________________________________________


8.    Father’s NIC Card No.


9.    Address : Residence & Telephone : ___________________________________

      ________________________________________________________________

10.   Address Office : Telephone & Fax No. _________________________________

      ________________________________________________________________

11.   Whether Regular / Associate Member of DHA, give No. ____________________

12.   Telephone Contacts in case of Emergency: _______________________

Note: Kindly attach a photocopy of allotment letter

      Or lease rent document where applicable                 Signature _____________

                                                              Name ________________

                                                              Relationship ___________

                                                              Date ________________



                             FOR OFFICE USE ONLY


Computer No :_______________________              Bus No : ________________________
Rate Per Month : __________________               Route : __________________________



                                                                          Approved By
                                                                             Adm Offr
Existing Fares:

Destination                                  Members             Non Members
With in DHA                                  Rs. 570 PM          Rs. 795   PM
DHA to Cantt                                 Rs. 900 PM          Rs. 1140 PM
DHA to Gulberg                               Rs. 1140 PM         Rs. 1365 PM
DHA to City                                  Rs. 1380 PM         Rs. 1605 PM
DHA to New Campus / Dental College           Rs. 1615 PM         Rs. 1845 PM
Cantt to DHA                                 Rs. 990 PM          Rs. 990 PM
Barkat Market to DHA                         Rs. 1075 PM         Rs. 1075 PM



                       (All above fares are subject to change)

Form Fee: Rs.10 (To be included in challan)