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Application for Accreditation as Driving School Instructor (RENEWAL)
LTO renewal application form for driving school instructor/lecturer
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DRIVING SCHOOLS INSTRUCTOR/LECTURER
(RENEWAL APPLICATION)
Name of Instructor/Lecturer
Driving School/Address/Tel No.
Prof. Driving License
The Assistant Secretary
Land Transportation Office
East Avenue, Quezon City
Thru: The Chairman
Committee on Accreditation of Driving Schools
Sir / Madam:
I/We have the honor to apply for an accreditation as practical instructor/lecturer. In this regard, please find attached
photocopies of the following to support with the original copies, for ready reference and verification.
General Requirements:
(1)
(2)
(3)
(4)
(5)
Copy of Valid Driver’s License
Official Receipt of Renewal Payment and/or
Accreditation Certificate
Certification of no apprehension/alarm on file/case
Police/NBI Clearance
________________________________________________
Printed Name and Signature of Authorized Representative
_______________________________
Designation
Subscribed and sworn to me this ______ day of _____________ affiant exhibit to me his/her Residence Certificate No.
____________________ issued on _____________ at _______________.
Doc. ____________;
Page No. _________;
Book No. _________;
Series of _________;
