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Form No.

012: with hearing

Revised as of 5/10/2021

Republic of the Philippines


Department of Transportation
LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Quezon City

Application for the issuance of a Certificate of Public Convenience to operate a TRANSPORT


NETWORK VEHICLE SERVICE pursuant to Board Resolution No. 185 dated 14 December
2022,
Michelle Sison Villanueva, CASE NO. _______________
(Applicant Name)_____________,
Applicant.
x ---------------------------------------x

APPLICATION
FOR A CERTIFICATE OF PUBLIC CONVENIENCE
WITH PRAYER FOR ISSUANCE OF A
PROVISIONAL AUTHORITY
Applicant, through the undersigned counsel, most respectfully request for the issuance of a Certificate of Public Convenience (CPC) to operate a Transport Network Vehicle
Service (TNVS), and in support thereof, states that:

1. Applicant is a Filipino citizen and may be served with legal processes at . [Email Address / Mobile Phone __________
2. Applicant, pursuant to Board Resolution No. 185 dated 14 December 2022, hereby applies for a Certificate of Public Convenience to operate a TRANSPORT
NETWORK VEHICLE SERVICE for the transportation of passengers and freight within Metro Manila including the MUCEP Area accessible to motor vehicle traffic and vice
versa, with the use of ONE (1) unit described hereunder, to wit:

MAKE MOTOR NO. CHASSIS NO. CS / PLATE NO. YR. MODEL

X- Nothing Follows -X

3. Applicant is financially capable to operate and maintain the service being applied for.

4. Applicant will comply with all the requirements of this Honorable Board, and will abide with the existing LTFRB rules and regulations, the Public Service Act, as
amended, and other pertinent land transportation laws, policies, rules and regulations.
5. Applicant has completed/currently completing all the documentary requirements for the Application, copies of which are hereto attached as Annexes.

6. With the consideration and approval of this application, public necessity and convenience will be promoted in a suitable manner.

PRAYER

WHEREFORE, it is most respectfully prayed that (a) Notice of Hearing be issued; (b) the Application for a Certificate of Public Convenience to operate a Transport Network
Vehicle Service 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.

st
Quezon City, Philippines, this 1 Day of March 2023

REDENTOR T. GUZMAN
Counsel for the Applicant
PTR No. 4030915; 01-2-2023/Quezon City

IBP Lifetime No. 011171


Attorney’s Roll No. 46050

MCLE Compliance No. VII-0018954, 04-14-2025

Rm. M-5 ARCHERUB Building

Page 1 of 2
146 Timog Avenue cor. EDSA
Brgy. Sacred Heart, Quezon City

Cellular Phone No. 0917-7118894


Email Address: [email protected]

WAIVER
I, Michelle Sison Villanueva, 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, Michelle Sison Villanueva, Filipino, and with mailing address , hereby depose and state:

1. That I am the applicant in the above-entitled case;


2. That I have caused the preparation of the foregoing Application (with Prayer for Issuance of a Provisional Authority);

3. That I have read and understood the contents hereof and the same are true and correct to the best of my own knowledge and belief;

4. That I have not commence any other action or proceeding involving the same issues in any other LTFRB Office;

5. That to the best of my knowledge, no such other application, petition or pleading is pending therein; and

6. That if I learn of the same or similar application, petition or pleading has been filed or is pending, I shall report such fact within five (5) days
therefrom to this Honorable Board.
IN WITNESS WHEREOF, I have hereunto set my hand this

SUBSCRIBED AND SWORN to before me this at Quezon City, affiant exhibiting to me his/her Unified Multi-Purpose ID / bearing his/her photograph and signature.

Doc. No. _________


Page No. _________
Book No. _________
Series of 2022.

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