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Registration Application Form

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Rizal Ramos
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445 views1 page

Registration Application Form

Uploaded by

Rizal Ramos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REGISTRATION APPLICATION FORM

EPEB No. _________________

To be filled up by Presenter
Presenter’s Name:  Owner Date:
 Representative
Presenter’s Address: Contact No.:

Email Address:

This is to confirm that I have been informed that, pursuant to LRA Circular No. 02-2016, as amended by LRA Circular No. 02-2017, all manually-
issued titles that are subject of annotation-type transactions where the subject title shall not be cancelled shall be automatically upgraded into an
eTitle, and a Title Issuance Fee shall be collected for the new eTitle to be issued.

___________________________
Presenter’s Name and Signature
For Priority Lane (For Payments Only):
 Senior  PWD  Pregnant Sex:  Female  Male Age:

To be filled up by Registration Information Officer (RIO)


Transaction:

Consideration: Assessed Value:

Comments/Remarks:

Processed by: ____________________________________

LTCP Form No. 0009 version 6 (revised 05.25.2022)

LRAQMS.FRM.2016.012
Revision 2 / 06-20-2022

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