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 _________;