Vehichle Registration Form

AFAB registration form for vehicle

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VEHICLE REGISTRATION FORM
Instructions: Carefully read the form and supply the correct information. Check the correct boxes. Write as legibly as
possible. Write 'N/A' if not applicable. Attach the documentary requirements as indicated below.
(Panuto: Basahing mabuti at punan ng tamang impormasyon ang mga patlang. Lagyan ng tsek ang mga tamang kahon. Panatilihing maayos ang inyong pagsulat. Isulat ang
'N/A' kung sakaling hindi angkop ang impormasyong hinihingi. Ilakip ang tama at kailangang mga dokumento.)

Applicant's Personal Information

Vehicle Information

Printed Name and Signature (Pangalan at Pirma)

Plate Number (Plaka)

Body Type (Yari)

Company/Group/Association (Kumpanya/Grupo/Asosasyon)

Make/Brand (Tatak)

Model (Modelo)

Are you the vehicle owner? (Ikaw ba ang nagmamayari ng sasakyan?)
c Yes (Oo) c No (Hindi) Owner's Name (Pangalan ng Mayari):

Vehicle Class (Uri ng Sasakyan)
c Private
c Government
c Public Utility
c Special

Purpose of the Vehicle
c Personal Service (Pansariling sasakyan)
c Delivery of Goods (Panhatid kalakal)
c Public Utility (Pampasada)

c Others (Iba pa)

Requirements
Basic Requirements

Specific Requirements

(Pangungahing mga Kailangan)

(Ispesipikong mga Kailangan)

c Vehicle LTO Certificate of Registration (photocopy)
c Vehicle LTO Official Receipt (photocopy)
c Driver's License (photocopy)
c Driver's Certificate of Employment
c Driver's Brgy. Clearance
c Driver's FAB Police Clearance
Supporting Documents
(Pansuportang mga Dokumento)

c Notarized Deed of Sale (photocopy)
c Authorization Letter to drive the vehicle
c Birth Certificate (photocopy)
c Marriage Certificate (photocopy)
c Others
c ______________________________________________________
c ______________________________________________________

Delivery Sticker
c AFAB Business Permit (photocopy)
c AFAB Certificate of Registration (photocopy)
c Special Permit for Suppliers (photocopy)
c Accreditation as Brokerage, Trucking, Scrap Buyer, etc.
c (photocopy)
Industrial Pass Sticker
c Accreditation as Security Agency, Scrap Buyer
c Manpower Agency, Insurance Agency (photocopy)
Public Utility Vehicle Sticker
c PUV Association Endorsement (original)
c LTFRB Franchise or Decision for Jeepneys and
c Minibuses (photocopy)
c Certification as school/company shuttle service
c List of Regular Passengers (for shuttle/school service)

Processing and Releasing
Evaluated and Processed by

Released by

Sticker Type Issued
c AFAB
c Delivery
c HI-CITRA
c Industrial Pass

Release Date (mm/dd/yyy)

Sticker Number

AFAB Official Receipt No.

c PUV
c Tricycle Zone I
c Tricycle Zone II

Notes/Remarks

This form can be reproduced. This is NOT FOR SALE. Visit www.afab.gov.ph to download the latest version of this form.
(Ang form na ito ay maaaring paramihin. HINDI ito IPINAGBIBILI. Maaaring i-download ang form na ito sa www.afab.gov.ph.)

CSD-FRD-FM-001 rev 001 - Vehicle Registration Form