REPUBLIC OF THE PHILIPPINES

Department of Transportation
LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Quezon City

ROY LIRIO SANVCTORES CASE NO.

Applicant

Application for a
Certificate of Public Convenience to Operate a
TRANSPORT NETWORK VEHICLE SERVICE
X——————————————-X

APPLICATION FOR
CERTIFICATE OF PUBLIC CONVENIENCE
WITH MOTION FOR PROVISIONAL AUTHORITY

Applicant, most respectfully applies for the issuance of a Certificate of Public Convenience (CPC) to
operate a Transport Network Vehicle Service (TNVS) (the Application) and, in support thereof, states:

1. Applicant is a Filipino citizen / corporation existing and duly organized under Philippines laws and
with business address at L2 B2 TALISAY ST. BRGY. SAN JUAN TAYTAY,RIZAL
2. Applicant applies for a TNVS CPC for the transportation of passengers and freight within the MUCEP
area, accessible to motor vehicle traffic and vice versa, with the use of ONE(1) unit, to wit:
PLATE/
MAKE MOTOR NO. CHASSIS NO. COND NO. MODEL
MITSUBISHI 4A91DS6932 MK2XRNC1WKN0 DAJ5563 2018
XPANDER 09933
X– Nothing Follows –X
3. Applicant is financially capable to operate as a TNVS.

4. Applicant will comply with all the requirements of this honorable board and will abide with the existing
LTFRB rules and regulations, the public service act, and other pertinent / policies.
5. Applicant has completed / currently completing all the documentary requirements for the Application.
Marked as Annex A LTO OR/CR, Annex B DTI, Annex C OPERATORS DATA SHEET (ODS) with
Complete Details and valid Drivers License/s of authorized Driver.
6. With the consideration and approval of this Application, public necessity and convenience will be
promoted in a suitable manner.
 PRAYER

WHEREFORE, it is most respectfully prayed that (a) a Notice of Hearing be issued by this honorable
board, as may be necessary (b) This Application for a Certificate of Public Convenience to Operate a
TNVS is accepted, considered and approved; and (c) in the meantime, a Provisional Authority be issued in
Applicant’s favor.

Other reliefs just and equitable under the premises are likewise prayed for.

Quezon City, Metro Manila,

ROY LIRIO SANVCTORES

Applicant

WAIVER

I, ROY LIRIO SANVCTORES,hereby grant authority to LTFRB, to verify the authenticity of all
the documents herein submitted together with this application from both government and private sources.

ROY LIRIO SANVCTORES

Applicant
 VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, ROY LIRIO SANVCTORES, Filipino and with business address at L2 B2 TALISAY ST.
BRGY. SAN JUAN TAYTAY,RIZAL, after having been duly sworn to in accordance with law hereby
depose and say that:

1. I am the applicant in the above-entitled case;

2. I have caused the preparation of the forgoing application;

3. I have read the contents thereof and the same are true to the best of my knowledge and belief on the
basis of the information and documents provided to me by the applicant;
4. To the best of my knowledge, I have not commenced any other action or proceeding involving the same
issues in any other LTFRB office;

5. To the best of my knowledge, no such other application, petition or pleading is pending therein; and
6. If I learn of the same or similar application, petition, or pleading has been filed or is pending, I shall
report of such fact within five (5) days therefrom to the honorable board.

ROY LIRIO SANVCTORES

Applicant

SUBSCRIBED AND SWORN to before me this day of

at Affiant exhibited to me his issued at
on .

Doc. No.:
Book No.:
Page No.:
Series of 2017.