Updated Application - New CPC

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Form No.

012: with hearing


Revised as of 5/10/2021

Republic of the Philippines


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

Application for the issuance of a Certificate of Public Convenience to operate a TRANSPORT


NETWORK VEHICLE SERVICE pursuant to Board Resolution No. 22 dated 5 April 2023,

CASE NO. _______________


Danissa Yaguel Pesongco,
Applicant.
x ---------------------------------------x

APPLICATION
FOR A CERTIFICATE OF PUBLIC CONVENIENCE
WITH PRAYER FOR ISSUANCE OF A
PROVISIONAL AUTHORITY
Applicant, through the undersigned counsel, most respectfully request for the issuance of a Certificate of Public Convenience (CPC) to operate a Transport Network Vehicle Service
(TNVS), and in support thereof, states that:

1. Applicant is a Filipino citizen and may be served with legal processes at BLK 8 D LOT 21 PHASE 2 AREA 3 LABAHITA ST , BARANGAY LONGOS, MALABON
CITY, [Email Address: danissaypesongco@yahoo.com.ph / Mobile Phone: 09060722739.
2. Applicant, pursuant to Board Resolution No. 22 dated 5 April 2023, hereby applies for a Certificate of Public Convenience to operate a TRANSPORT NETWORK
VEHICLE SERVICE for the transportation of passengers and freight within Metro Manila including the MUCEP Area accessible to motor vehicle traffic and vice versa, with the use
of ONE (1) unit described hereunder, to wit:

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

TOYOTA RUSH 2NRG923758 MHKE8FF3PNK050451 DBI4316 2023

X- Nothing Follows -X

3. Applicant is financially capable to operate and maintain the service being applied for.

4. Applicant will comply with all the requirements of this Honorable Board, and will abide with the existing LTFRB rules and regulations, the Public Service Act, as
amended, and other pertinent land transportation laws, policies, rules and regulations.

5. Applicant has completed/currently completing all the documentary requirements for the Application, copies of which are hereto attached as Annexes.

6. With the consideration and approval of this application, public necessity and convenience will be promoted in a suitable manner.

PRAYER

WHEREFORE, it is most respectfully prayed that (a) Notice of Hearing be issued; (b) the Application for a Certificate of Public Convenience to operate a Transport Network Vehicle
Service be accepted, considered and approved; and (c) in the meantime, a PROVISIONAL AUTHORITY be issued in applicant’s favor.
Other reliefs just and equitable under the premises are likewise prayed for.

th
Quezon City, Philippines, this 4 Day of September 2023

(Lawyer Name)

Counsel for the Applicant


PTR No. ( _; /

IBP Lifetime No.


Attorney’s Roll No.
MCLE Compliance No.

Address :

Cellular Phone No.


Email Address:

WAIVER

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I, Danissa Yaguel Pesongco, hereby grant authority to LTFRB to verify the authenticity of all documents herein submitted together with this application from both government and

private sources.

Danissa Yaguel Pesongco


Applicant

VERIFICATION AND CERTIFICATION OF


NON-FORUM SHOPPING
I, Danissa Yaguel Pesongco, Filipino, and with mailing address: BLK 8 D LOT 21 PHASE 2 AREA 3 LABAHITA ST , BARANGAY LONGOS, MALABON CITY ,hereby

depose and state:

1. That I am the applicant in the above-entitled case;


2. That I have caused the preparation of the foregoing Application (with Prayer for Issuance of a Provisional Authority);

3. That I have read and understood the contents hereof and the same are true and correct to the best of my own knowledge and belief;

4. That I have not commence any other action or proceeding involving the same issues in any other LTFRB Office;

5. That to the best of my knowledge, no such other application, petition or pleading is pending therein; and

6. That if I learn of the same or similar application, petition or pleading has been filed or is pending, I shall report such fact within five (5) days therefrom to
this Honorable Board.
IN WITNESS WHEREOF, I have hereunto set my hand this 4th Day of September, 2023

Danissa Yaguel Pesongco,


Applicant
th
SUBSCRIBED AND SWORN to before me this 4 Day of September , 2023 at Quezon City, affiant exhibiting to me his/her <TIN ID>: < 290-048-471 > bearing his/her
photograph and signature.

Doc. No. _________


Page No. _________
Book No. _________
Series of 2023.

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