Form No.

002-TD
Revised as of 2/24/2021

Republic of the Philippines

Department of Transportation
LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Diliman, Quezon City

PETITION FOR DROPPING OF UNIT/S

Denomination_______________
No. of Unit/s ________________
Route/Area of Operation____________________________

NAME OF APPLICANT: _______________________________ CASE NO. __________

Authorized Representative:

HOME/BUSINESS ADDRESS: _________________________________________________

TELEPHONE NUMBER: _______________ EMAIL ADDRESS: ________________

CITIZENSHIP: ______________________

AUTHORIZED UNIT DETAILS:

MAKE MOTOR NO. CHASSIS NO. PLATE NO. YR. MODEL

_______ __________________ _________________ __________ _________

ATTACHMENTS:
Valid Government ID of Applicant (Annex ____)
and/or Authorized Representative

For Corporation/Partnership and Cooperative

Board Resolution/Sec. Certificate (Annex ____)
of Authorized Signatory to sign and/or
file the Petition

Additional attachments:
LTO OR/CR (old) unit/s (Annex ____)
Return Receipt of Plate License (Annex ____)

If w/o RRPL
LTO Certification of No Hire Plate issued (Annex ____)

If Plate License is Lost / Carnapped

Affidavit of Loss of Plate (Annex ____)
PNP Certification / PNP Alarms (Annex ____)
LTO Certification of No Alarms & Apprehension (Annex ____)

I hereby CERTIFY under oath that the information provided in the Petition are true and
correct. I/We, further CERTIFY that any false representation hereby made shall automatically
cause the denial of the Petition, without prejudice to other penalties as may be determined by the
Board.

_____________________
Petitioner