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Bus Pass Application Form

This document contains an application form for Maria's Transport Service bus passes. It requests student information such as name, ID number, and contact details. It outlines the payment options and required documents for new, renewal, or update applications. The terms and conditions specify the rules for bus pass use, including only boarding at designated stops and showing student ID. It provides payment instructions and contact information for inquiries.
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0% found this document useful (0 votes)
281 views3 pages

Bus Pass Application Form

This document contains an application form for Maria's Transport Service bus passes. It requests student information such as name, ID number, and contact details. It outlines the payment options and required documents for new, renewal, or update applications. The terms and conditions specify the rules for bus pass use, including only boarding at designated stops and showing student ID. It provides payment instructions and contact information for inquiries.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MARIA’S TRANSPORT SERVICE

1ST FLOOR (ABOVE DAHLIA CAFE), UNIVERSITI MALAYSIA SARAWAK,


94300 KOTA SAMARAHAN

Application Form of Bus Pass

New Application Renewal Application Update Information Missing Pass

Student Name Gender

Date of birth IC No./ Passport No.

Nationality Email Address

Student Matric No.


Mobile No.
(if don’t have pls skip)

Date enrolled
Faculty
(date report to class)

Pass No.
(Applicable to renewals)

Current
Address
Months to
Period of Pass 1 2 3 Pick-up Point
purchase
Required:
(Please circle) Rate (RM) 28 56 84

 Applicant recent photo


 IC copy (front & back page) / Passport Copy (front page)
 Student ID copy (if any)
 Payment transaction slip for bas pass (please reference your name with Student
Name in order for us to reconcile this from our bank account)
Required
Document: * Please click on Google link below by submitting your registration form and required
supporting documents :

* For inquiries, please contact us at +6016-8656699 (Mr Bong) / +6019-8896369 (Jessica)


or email to enquiry.mtstrvl@gmail.com

Account name : MARIA'S TRANSPORT SERVICE


Payable to: Account number : 2-11100-0001588-9
Bank : RHB BANK BERHAD
MARIA’S TRANSPORT SERVICE
1ST FLOOR (ABOVE DAHLIA CAFE), UNIVERSITI MALAYSIA SARAWAK,
94300 KOTA SAMARAHAN

Declaration

I certify that the information given by me is correct and I will inform the Maria’s Transport Service for any
changes of my details or circumstances. In accepting the Bus Pass, I agree to observe the conditions of used. I
understand that the card is not transferable. I give my permission for the data provided on this Bus Pass
application form to be used for administrative purposes.

Signature of Applicant : ____________________________________ Date : ____________________________

For Office Use Only

Pass / Card No. : _____________________________________

Validity of pass : ______________________ to ________________________

Amount Received : ______________________ Rec. No.: _________________________ Date: _________________

Bas Route : ____________________

Terms & Conditions

1. Bus Pass will be provided to the student after the fee payment. If this card is lost / misplaced / or damage, a
new card will be issued at the cost of RM10.00.
2. No Refund will be made for lost, stolen or unused Bus Pass.
3. Bus Pass shall be renewed seven (7) days in advance before expired the validity period.
4. The Monthly Pass is valid for one calendar month, starting on the first day of the month and ending on the
last day of the calendar month in which the pass is valid.
5. Bus Pass is non-transferable.
6. Students will have to show the Student ID Card together with Bus Pass to the bus driver to be eligible to
board the shuttle bus daily.
7. Students are not allowed to use the shuttle bus service if Studednt ID and Bus Pass are not presented
(temporary passes are not available).
8. Please note that the shuttle buses will only stop at designated bus stops, andnot any other locations.
9. Maria’s Transport Service have the right to seize the card if it is found to be misused. Misuse includes used
by someone other than the card holder.
10. Maria’s Transport Service reserves the right to update and amend the terms and conditions at any time
without prior notice.
MARIA’S TRANSPORT SERVICE
1ST FLOOR (ABOVE DAHLIA CAFE), UNIVERSITI MALAYSIA SARAWAK,
94300 KOTA SAMARAHAN

***PLEASE NOTE***

1. Please note the time of arrival may not be accurate due to traffic.
2. Kindly wait for the bus arrival at least 15 minutes before the schedule time.
3. MUST wear a standard face mask before boarding the bus.
4. Online payment transaction slip for bus pass - please remark at ‘reference’ field your name with Student Name
in order for us to reconcile this from our bank account.
5. Please scan and email OR click on google link the completed form with a required documents and photograph
to or
6. To ensure your Bus Pass is promptly made, please allow us 7-10 working days to process and will inform once
completed to collect the Bus Pass.
7. We will have retail shop in the UNIMAS Campus for pick up Bus Pass, renewal of Bus Pass and any other
enquries.
8. Maria’s Transport Service is not responsible for personal items left on the bus

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