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REPUBLIC OF THE PHILIPPINES

Department of Transportation and Communications


LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Quezon City

___________________________
Movant.
X -------------------------------------x Case No. TNVS-
MOTION FOR EXTENSION
OF PROVISIONAL AUTHORITY

COMES NOW, and unto this Honorable Board most respectfully allege:
1. That the movant is of legal age, Filipino and an applicant of an Application for New Certificate of
Public Convenience to operate a TRANSPORTATION NETWORK VEHICLE SERVCE
(TNVS) on the line of METRO MANILA from the said place to any point in Luzon
accessible to motor vehicle traffic and with use of One (1) unit under the above Case Number
which is more particularly described as follows:
MAKE & TYPE :
MOTOR NO. :
CHASSIS NO. :
PLATE NO. :
YEAR MODEL :
2. That applicants would like to request this Honorable Board for the issuance of EXTENSION OF
PROVISIONAL AUTHORITY to use for the TNVS while waiting for the release of Certificate
of Public Convenience.
3. That in support of this Motion for Issuance of Provisional Authority, applicant is submitting the
following documentary requirements for the evaluation of the Honorable Board to wit:

Annex “A” - Application for New CPC


Annex “B” - Official Receipt of Registration (OR)
Annex “C” - Certificate of Registration (CR)
Annex “D” - Government ID

Wherefore in view of the above it is respectfully request that the above Motion
for issuance of Provisional Authority be GRANTED.

Other relief just and equitable under the premises is likewise prayed for.
________________ City, ____________ 20__.

_________________________
Movant
Republic of the Philippines )
Quezon City ) S.S
VERIFICATION AND CERTIFICATION
OF NON FORUM SHOPPING

I,______________________ of legal age, Filipino and with postal and business address at
___________________________after having duly sworn in accordance with law, hereby depose and say:
1. That I am the Applicant in the above-entitled case;
2. That I caused the preparation and filing of the foregoing Motion for Extension of Provisional
Authority to operate m a TNVS service;
3. That I have read the allegations contained in the said Motion and they are true and correct of our
own personal knowledge.
4. I have not commenced any other action or proceeding involving the same issues in any other
LTFRB Office;
5. To the best of my knowledge, no such other application, Petition or pleading has been filed or is
pending;
6. If I learn of the same or similar application, petition, or pleading has been filed or is pending, we
shall report of such fact within FIVE (5) days there from to this Honourable Board.

IN WITNESS WHEREOF, we have hereunto set our hand this ____ day of _________, 20__, at
______________.

_________________________
Movant

SUBSCRIBED AND SWORN to before me this ____ day of _________, 20__, at ______________.
Affiant exhibited to me his/her __________________________________.

Doc No.
Page No.
Book No.
Series of ______

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