REPUBLIC OF THE PHILIPPINES

Department of Transportation and Communication

LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD

National Capital Region

NAME OF COOPERATIVE/CORPORATION CASE NUMBER

Applicant

FORMAL OFFER OF EVIDENCE

COMES NOW, the applicant, unto this Honourable Board most respectfully submit his/her
Formal Offer of Evidence in support of the application for the issuance of Consolidation of
Certificate of Public Convenience of (NUMBER OF UNITS) Public Utility Jeepneys.

EXHIBITS:

“A”, “A-1 TO A-2” Affidavit of Publication, Clipping of Notice,

Newspaper page where notice was
published

“B” Certificate of Registration (Cooperative or

Corporation)

“C” Certificate of Registration (Bureau of

Internal Revenue)

“D” Office of Transportation Cooperative or

Securities and Exchange Commission
Accreditation

“E” Certificate of Compliance (issued by

Cooperative Development Authority or
Securities and Exchange Commission

“F” Certificate of Good Standing (issued by

Office of Transportation Cooperative or
Securities and Exchange Commission)

“G” OR/CR

“H” Decision

“I” Management Agreement

“J” Latest Financial Statement

“K” Income Tax Return

“L” Operators Data Sheet

“M” Zoning Clearance / Land Title

“N” Proof of Operation of Off Street Terminal

“O” Undertaking to Substitute with OFG

Compliant Units

“P” Undertaking to Operate Under Fleet

Management System

“Q” Affidavit of Applicant

“R” Articles of Cooperative or Corporation and

By Laws

“S” Authority to Represent, Authority to Sign

WHEREFORE, it is respectfully prayed the foregoing exhibits be admitted in the evidence and
with its admission and allegations of the applicant in affidavit, the application be granted.

Quezon City, ____________

NAME AND SIGNATURE OF CHAIRMAN

Applicant