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REPUBLIC OF THE PHILIPPINES )

) S.S.

AFFIDAVIT OF APPLICANT

That I, ___________________________________, of legal age, single/married, Filipino


with resident address at __________________________________________ after having been
duly sworn to in accordance with law hereby, depose and state that:

That I am a applicant for New Certificate of Public Convenience to operate a TNVS service
on the route: Metro Manila to any drop-off points in Luzon and vice versa with the use of ____ ( )
unit with Case No. TNVS ______________________;

That I am the registered owner of the subject unit in my application;

That I am legally qualified to operate said unit as evidenced by my Birth Certificate, Valid
Philippine Passport, Voter’s ID, Marriage Certificate;

That there is a public necessity for TNVS service on the route applied for owning to many
commuters on the said route;

That I am executing this affidavit to attest to the truth of the foregoing instrument further
for whatever legal intents this may serve best.

FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS, I have hereunto set my hand this ________ day of _________________,


2018 at ______________________.

_____________________________
Affiant/Applicant

SUBSCRIBED and SWORN to before me at __________________________, this


_______ day of ____________________, 2018, affiant/applicant exhibited to me
his/her _____________________ with No. __________________ issued at
______________________________ on ____________________.

Doc No.______;
Page No._____;
Book No______;
Series of 2018

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