e REPUBLIC DF THE PHILIPPINES @
Department of Transportation
LAND TRANSPORTATION FRANCHISING & REGULATORY BOARD.
East Avenue, Quezon City
ROBERTO M. HERNANDEZ
RLIMH TRANSPORT
‘APPLICANT
Appiication for Certificate of Public Convenience
to Operate TH FREIGHT TRUCK service with Prayer
for Issuance of PROVISIONAL AUTHORITY.
APPLICATION
Applicant, most respectfully request for the inssuance of a Certificate of a Public Convenience (CPC)
to operate a TRUCK FOR HIRE SERVICES and in support thereof, states that:
1 Applicants ROBERTO M. HERNANDEZ a (Filipino citizen/corporation organized under
Philippines laws duly represent by its (position / name of the representative) and with business
address at 552 ZONE 4 MANGGA ST. PARTIDA SAN MIGUEL BULACAN.
23 Applicant applies for a CPC for the transportation of freight from (SAN MIGUEL BULACAN)
to any point in the pines, accessible to motor vehicle traffic and vice versa, with the use
of THREE (3) UNITS/S to wit:
MAKE/TYPE ‘MOTOR NO. CHASSIS NO. PLATE NO. | YEAR MODEL
HYUNDAI H100 D4BBG022546 | KMFZBX7BAGU367812 | DAB2048 2016
ITS. [300 FB BODY | 4D56AAP3877 | PAEL6SMYHGBO24911 |_NBU7220 2017
LHYUNDAIH100___ | D4BBHO13922_ | KMFZBX7BAHU487112 [| NAY3955 | 2018
Four (4) copies of APPLICATION here to attached as Annexes”A”.
3. Applicant s financially capable to operate a Truck for Hire service. nS
Applicant likewise attached the requirements of Honorable as Annexes to wit:
OR/CR as Annex “B”
Operators Data Sheet as Annex "C"
License of Driver as Annex “D”
Secretary Certificate / DTI as Annex “E”
SEC as Annex “F”
Hauling Contract as Annex “G”
Stencil as Annex “H”
TT as Annex “I”
‘Sketch of Garage as Annex “I”
Bank Cert. as Annex °K”
Certificate of Registration (COR) as Annex “L”
4. Applicant will comply with all the requirements of this Honorable Board and will abide with
existing LTFRB Rules and Regulations, the Public Service Act and other pertinent laws/policies:
5. with the consideration and approval of this Application, public necessity and convenience will be
promoted in a suitable manner;
WHEREFORE, it is most respectfully prayed unto this Honorable Board that this Application for
Certificate of Public Convenience to operate a TRUCK for HIRE service be accepted and considered.
‘There after a Notice of Hearing be issued by this Honorable Bo:
Quezon City, Philippine, ns
Ley HERNAN
‘APPLICANTPRAYER
WHEREFORE, it is most respectfully prayed that ( a ) a Notice of Hearing be issue, (b)
‘This Application for a Certificate of Public Convenience to Operate a TH Freight Truck Services
Be 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, Philippines.
WAIVER
|, ROBERTO M. HERNANDEZ, hereby grant authority to LTFRB, to verify the authenticity of all
Documents herein submitted together with this application from both government and private Sources.
‘APPLICANT
VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING
I/WE/THAT ROBERTO M. HERNANDEZ, with business address 552 ZONE 4 MANGGA ST.
PARTIDA SAN MIGUEL BULACAN. after having been duly swom to in accordance with law hereby
depose and say that:
\/We am/are, the Applicant/s in the above-entitled case;
i/iiie have caused the preparation of the foregoing application;
We have read the contents thereof and the same are true to the best of my knowledge and
belief;
We have not commenced any other action or proceeding i
To the best of my knowledge, no such other application, petition or pleading is pending therein;
learn of ing has been filed /Honorable
Board. _
adgelll . HERNANDEZ
APPLICANT
/olving the same issues
SUBSCRIBED AND SWORN to before me tis DEy 4 222. ran xe to me hei
identification id card with no. P2222789B issued at QUEZON CITY on x
Doc fio. U2 ATTY. eng PACILANANG
Page No. NOTARY PUBLIC
Book No. Vi eeu Wo. cass tuo ory
eS ee
Series of 3022. PTR No. 317772287 1-5~2022
ROL, No. ATTORNEY'S No.497564
MCLE COMM. No, 12611070970.