REPUBLIC OF THE PHILIPPINES

Department of Transportation and Communications

LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Quezon City
MOTION FOR PROVISIONAL AUTHORITY
I, _______________________________________, respectfully apply for a Certificate of
Public Convenience ("CPC") to operate a Transportation Network Vehicle Service ("TNVS")
under the Land Transportation Franchising and Regulatory Board ("LTFRB") Memorandum
Circular (MC) No. 2015-017 (the "Application").
1.

I am currently completing all the documentary requirements for the Application.

2.
In the meantime, pursuant to Paragraph C of MC No. 2015-017, I respectfully
request for Provisionally Authority to operate as a TNVS. In support of this request, I am
submitting copies of the following documents, the originals of which I undertake to make
available at the time of the hearing on my Application, for verification and authentication:

Proof of my Filipino Citizenship (see Exhibit "A")

Certificate of Accreditation / Good Standing with Uber Systems, Inc. ("USI") (see
Exhibit "B")
Certificate of Accreditation by USI of my vehicle with plate number
___________________________________________________ (see Exhibit "C")
Passenger Insurance Policy covering my vehicle (Exhibit "D")

3.
I hereby name, constitute and appoint Uber Systems, Inc. and/or any of its
employees, and the law firm of Quisumbing Torres and/or any of its lawyers, with office address
at 12th Floor, Net One Center, 26th Street corner 3rd Avenue, Crescent Park West, Bonifacio
Global City, Taguig City, Philippines, to act for and on my behalf in connection with, and to take
all actions appropriate or necessary for the purpose of, pursuing this application for Provisional
Authority in my favor.
PRAYER
WHEREFORE, it is most respectfully prayed that this motion for issuance of Provisional
Authority be accepted and granted.
20 August 2015.
___________________________
TNVS Applicant