Application Form
Important:
This form is only for the purpose of New REGISTRATIONS.
DO NOT fill this form for RENEWAL of PASSES.
Instructions:
1. Fields marked with * are compulsary.
2. The photo to be uploaded should be with plain background with visible face features and less than 20KB in size.
3. You can add two or more routes by clicking on the ADD ROUTE button.
4. An Applicant can apply for Both LOCAL & SHUTTLE pass for different routes.
5. Every Route added will generate a New Pass.
6. Enter important Medical information about yourself if any.
7. Pass Amount should be payed at the KTCL Depot.
Upload Photo:
Image size should be less than 20KB
Personal Details
Title:
Name*:
House No*:
Locality*:
State*: Taluka*:
City/Village*: Pincode:
Date of Birth*: Age*:
Sex*:    
Mobile No*:
Kindly provide with your correct mobile number since you will be intimated via SMS 		Tel No.:
Email*: EPIC:
Blood Group:
Medical Info:
Passenger Category*:
Additional Details*:
Bus Service*:
The pass is for bothways only.
Shuttle route pass can be used on Local route but Local route pass is not allowed on Shuttle routes.
Amount to be Paid:
Payment Mode: