SWORN STATEMENT ON CPC CONSOLIDATION
I, DAVID L. DUMALUAN IV of legal age, Filipino and a resident of Brgy. Bolod
Panglao, Bohol, under oath, hereby state:
1. That I am a grantee of a CPC to operate a TOURIST CAR TRANSPORT service
under LTFRB Case No. 07-16-0849 on the line WITHIN TAGBILARAN CITY
AND TO ANY POINT IN THE CITIES AND PROVINCE OF REGION VII, with
the use of Three (3) units, particularly described as follows:
NAME MOTOR NO. CHASSIS NO. PLATE NO.
HYUNDAI D4FBFU593124 KMHCT41UAGU057354 ACS5466
NISSAN YD25385587A JN1TC2E26Z0005533 075304
TOYOTA 2KDA895173 JTFJS02P605033328 075301
2. That in compliance with the PUV modernization, I have already completed and/or
processed and submitted my pertinent papers to ______________________________
as of __________________________.
3. That I understood and voluntarily affirm that my individual CPC and its authorized
unit should be consolidated and made part in a single juridical entity and that my
individual CPC will be voluntarily dissolved to give way to its consolidation.
4. That I am aware that the failure to consolidate my CPC will result in the dissolution
of my CPC and the opening of the routes to applications filed by qualified juridical
entities such transport cooperatives and corporations.
5. That I attest the correctness of the foregoing statements.
IN WITNESS WHEREOF, I have hereunto affixed my signature this _____of
__________________, 2019 at ______________________, Philippines.
David L. Dumaluan IV
Petitioner – Affiant
Architect PRC No. 25948
Attested by:
_________________________________________
_________________________________________
Regular / Interim representative
of Transport Cooperative or Corporation
SUBSCRIBED AND SWORN to before me this _________________ in the City of
Tagbilaran, Bohol, Philippines, affiant exhibiting to me his Competent Evidence of Identity in
the form of his Architect PRC ID Reg. No. 25948 issued at PRC Manila, Philippines.
Doc. No._______;
Page No._______;
Book No._______;
Series of 2019.