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Podaci O Učeniku ZAHTEV ZA IZDAVANJE PRETPLATNE KARTE BROJ KARTE:________________ ZA ĐAKE I STUDENTE PODACI O UČENIKU OVERA OD STRANE ŠKOLE/FAKULTETA OPŠTI PODACI PODNOSILAC ZAHTEVA JMBG: IME: ______________________________________________________________ ___________________________________________________________ (IME I PREZIME) PREZIME:__________________________________________________________ JE REDOVAN UČENIK/STUDENT ŠKOLE/FAKULTETA ADRESA STANOVANJA ___________________________________________________________ MESTO: ___________________________________________________________ (NAZIV ŠKOLE/FAKULTETA) ULICA I BROJ: ______________________________________________________ ___________________________________________________________ (MESTO U KOM SE ŠKOLA/FAKULTET NALAZI) E-MAIL: ___________________________________________________________ U 2011/2012. GODINI PODACI O ŠKOLI/FAKULTETU DATUM: __________________________________________________ VRSTA ŠKOLE: 1. OSNOVNA 2. SREDNJA 3. VIŠA 4. FAKULTET BROJ PROTOKOLA: ________________________________________ NAZIV ŠKOLE/FAKULTETA: ____________________________________________ MESTO: ___________________________________________________________ DA SU PODACI U OVOM OBRASCU TAČNI OVERAVA: RAZRED/SEMESTAR: _________________________________________________ ______________________________________________________________________________ (POTPIS I PEČAT) VRSTE KARATA (zaokružiti samo jednu: zonu, liniju ili kroz naseljeno mesto) ZA ZONU KROZ NASELJENO MESTO ZA JEDNU LINIJU U GRADU I NOVI SAD (sve linije u gradskom prevozu) KROZ o KAD 1 KLISA-CENTAR-LIMAN I II VETERNIK KROZ o BUDISAVU 2 CENTAR-NOVO NASELJE II RUMENKA KROZ o KOVILJ 3 PETROVARADIN-DETELINARA II NOVI LEDINCI KROZ o PEJIDEVE SALAŠE 4 LIMAN-ŽELEZNIČKA STANICA II PARAGOVO (Venac) KROZ II POPOVICA (Okretnica) o ČENEJ 5 TEMERINSKI PUT-AVIJATIČARSKO NASELJE II TEKIJE KROZ o RUMENKU 6 PODBARA-ADICE II BUKOVAC KROZ o KISAČ 6A ADICE – VETERNIK (OŠ “M.TRANDAFIL”) II RIMSKI ŠANČEVI KROZ o STEPANOVIDEVO 7 LIMAN-ŽELEZNIČKA STANICA-LIMAN II PEJIDEVI SALAŠI KROZ o VETERNIK 8 NOVO NASELJE-LIMAN I IIA SREMSKI KARLOVCI KROZ o FUTOG 9 NOVO NASELJE-PETROVARADIN III STARI LEDINCI KROZ o BEGEČ 11 Ž. STANICA-LIMAN-Ž. STANICA III FUTOG KROZ III KAD BUKOVAC 12 CENTAR-TELEP IIIA BAČKI JARAK KROZ o PARAGOVO 14 CENTAR-SAJLOVO IIIA NOVI RAKOVAC KROZ o POPOVICU 21 ŠANGAJ IV ČENEJ KROZ o STARE LEDINCE 68 SREMSKA KAMENICA (VOJINOVO) IV LIS KROZ o SREMSKE KARLOVCE 69 SREMSKA KAMENICA (ČARDAK) IV BUDISAVA BEO o KROZ BEOČIN 70 SREMSKA KAMENICA (INSTITUT) IV BEGEČ RLT o OPŠTINA BEOČIN I TEMERIN 71 SREMSKA KAMENICA (BOCKE) IV KISAČ IVA STRAŽILOVO TEM o KROZ TEMERIN 72 PARAGOVO (OKRETNICA) IVA STARI RAKOVAC 73 SREMSKA KAMENICA (MOŠINA VILA) V STEPANOVIDEVO 74 POPOVICA (POPOVICA V) V KOVILJ VA BEOČIN VA TEMERIN VI BRAZILIJA VI ČEREVID VI GOSPOĐINCI VII KORUŠKA _____________________________________________________________ **NAPOMENA - Sve karte osim BEO, TEM i RLT važe VII BANOŠTOR samo kroz navedeno mesto na teritoriji grada Novog VIII SVILOŠ Sada. Karta za zonu BEO važi kroz Beočin, Beočin VIII SUSEK Selo, Braziliju i Dumbovo. Karta za zonu TEM važi IX GRABOVO kroz Temerin. Karta za zonu RLT važi kroz Lug, Sviloš, IX LUG Grabovo, Susek, Banoštor, Čerevid, Rakovac, Beočin i __________________________________________________________ __________________________________________________________________ kroz opštinu Temerin. Karte kroz naseljeno mesto **NAPOMENA - Karta važi samo za navedenu liniju u **NAPOMENA - Zonske karte važe unutar navedene zone i u kao ni karte za zone BEO, TEM i RLT ne važe u gradskom prevozu gradskom prevozu gradskom prevozu. GODIŠNJA ŠKOLSKA KARTA Do 10 godina starosti I zona II zona III zona IV zona V zona (važi od 01.09. do 30.06.) Preko 10 godina starosti 1 LIN I zona II zona III zona IV zona V zona .
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