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Get PH Request for Special Permit for Out-of-Line Operation

REPUBLIC OF THE PHILIPPINES Department of Transportation and Communications LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD East Avenue Quezon City REQUEST FOR SPECIAL PERMIT FOR OUT OF LINE OPERATION DATE NAME OF OPERATOR/ REPRESENTATIVE PURPOSE OF REQUEST Excursion Family Trip Fetch Relatives To carry cargo Others DESCRIPTION OF UNIT/S TO BE USED OPERATOR MAKE/ TYPE MOTOR NO. CHASSIS NO. PLATE NO. ORIGIN DESTINATION VIA DURATION Date SIGNATURE OF REQUESTING PARTY REQUIREMENTS General 1. 1 duly accomplished Request Form 2. Original and copy of Valid Government-Issued Identification Card with photograph of Applicant/Petitioner Driver s License SSS PAG-IBIG BIR Phil Health Postal Voter s ID valid Passport. 3. Copy of OR/CR of authorized unit/s Additional Requirements For Cooperatives 1. Copy of the Board Resolution authorizing the application for special permit. document to the realization of the aforesaid matters. For Corporations 1. Copy of Board Resolution authorizing the application for special permit. Notes 1. For individuals personal appearance of petitioner is required* However should it not be possible for requesting party to be physically present authorized representative is allowed upon presentation of Special Power of Attorney SPA and valid identification document/s. CHASSIS NO. PLATE NO. ORIGIN DESTINATION VIA DURATION Date SIGNATURE OF REQUESTING PARTY REQUIREMENTS General 1. 1 duly accomplished Request Form 2. Original and copy of Valid Government-Issued Identification Card with photograph of Applicant/Petitioner Driver s License SSS PAG-IBIG BIR Phil Health Postal Voter s ID valid Passport. 1 duly accomplished Request Form 2. Original and copy of Valid Government-Issued Identification Card with photograph of Applicant/Petitioner Driver s License SSS PAG-IBIG BIR Phil Health Postal Voter s ID valid Passport. 3. Copy of OR/CR of authorized unit/s Additional Requirements For Cooperatives 1. Copy of the Board Resolution authorizing the application for special permit. 3. Copy of OR/CR of authorized unit/s Additional Requirements For Cooperatives 1. Copy of the Board Resolution authorizing the application for special permit. document to the realization of the aforesaid matters. For Corporations 1. Copy of Board Resolution authorizing the application for special permit. document to the realization of the aforesaid matters. For Corporations 1. Copy of Board Resolution authorizing the application for special permit. Notes 1. For individuals personal appearance of petitioner is required* However should it not be possible for requesting party to be physically present authorized representative is allowed upon presentation of Special Power of Attorney SPA and valid identification document/s. CHASSIS NO. PLATE NO. ORIGIN DESTINATION VIA DURATION Date SIGNATURE OF REQUESTING PARTY REQUIREMENTS General 1. 1 duly accomplished Request Form 2. Original and copy of Valid Government-Issued Identification Card with photograph of Applicant/Petitioner Driver s License SSS PAG-IBIG BIR Phil Health Postal Voter s ID valid Passport. 3. Copy of OR/CR of authorized unit/s Additional Requirements For Cooperatives 1. Copy of the Board Resolution authorizing the application for special permit. .

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