Professional Documents
Culture Documents
CY-2023
NameSublessee:
_________________________________________________________________________________________________
Sublessor:Date: __DE LOS SANTOS MEDICAL CENTER, INC.,__ _________________________
Home address: _________________________________________________________________________________________
___________________________________________________
____________________________________________________ Effectivity Date:
____________________________________________________________________________________________________________
______________________
Vehicle Information:
Main 1st car / Motorcycle Motor Vehicle 2nd CarAlternate
Motor Vehicle
(in case of number coding)
Make: ______________________ Make: _____________________
Type: ______________________ Type: _____________________
Model: ______________________ Model: _____________________
Color: ______________________ Color: _____________________
Plate no.: _____________________ Plate no.: ____________________
Additional Requirements:
Photocopy of the following validated from the original copy:
In WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and place above stated.