K.L.ARYA D.A.
V PUBLIC SCHOOL, HISAR
(Affiliated to CBSE, Delhi upto +2 level in Science, Commerce and Arts)
Requisition Form For School Bus Facility For The Session 2024-25
The Principal
KL ARYA DAV Public School
Hisar
Sir,
I wish to request for the school bus facility from _________________ to 31th March 2025 for the entire session
(_______ months) for any ward. I will not request to withdraw/stop for using the bus facilities in the mid-session until &
unless he/she taken the T.C. and thereby leaves the school. The details of my ward are as follows:
Name of the student
Father’s Name Paste here recent
Mother’s Name passport size
color photograph
Guardian’s Name(if any) of the student
Class Section Adm. No. Roll no. Blood Group
Address for
Communication
Mobile No.
Alternate Contact no.
Boarding Point
Time of Bus Arrival _________________ & Departure ____________ at boarding point.
COMMON UNDERTAKING
I have noted the following and hereby undertake that:
1. I will abide by the instructions and information given/sent by the school time to time.
2. I shall see off and collect my ward at the allotted bus stop.
3. My ward will reach at the given pick up point 5 minutes before the time given.
4. My ward will maintain the discipline inside the bus. I f the bus damaged by my ward in anyway, I shall bear the
expenses.
5. Students availing the bus facilities from April or from the date of their admission will not be allowed to leave the
bus facility in the middle of the year or at the far end of the year.
6. Pick up points will not be charged without prior permission/ information of the Principal.
Date : ________________ Signature of Parents / Guardian
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FOR OFFICE USE ONLY
Master/Miss _____________________ Son/Daughter of Smt. _____________________ & Sh. _________________ of
class & Sec.______ Adm. No. ____________ Roll No. _________ is being allowed to avail the school Bus facility for TO
and FRO from the Pickup point i.e. ________________________ __________________________________________
w.e.f. ________________________ Token No. ______________________
Signature of I/C Transport PRINCIPAL