Application form for Tricycle Permit Republic of the Philippines Municipality of Balayan BATANGAS PERMITS AND LICENSE DIVISION FOR TRICYCLE OWNER ONLY: NAME ADDRESS. DATE OF aIRTH PLACE TELICEL NO. DESCRIPTION OF VEHICLE: PLATE NO FRANCHISE: MAKE: CHASISH: MOTOR #. OR No. DATE: G.R.No. “SIGNATURE OF APPLICANT CTC No. DATE PLACE FOR TRICYCLE DRIVER ONLY: NAME, ADDRESS: DATE OF BIRTH PLACE DRIVER'S LICENSENO, EXPIRY DATE: SIGNATURE OF DRIVER CTC No. DATE PLACE FOR INSPECTION ONL\ FINDINGS: SIDE CAR TAIL LIGHTS SIGNALLIGHT HEADLIGHT BRAKES HORN © WITHLIGHT. Mc Front wc Fron Loud Sidecar Rear Sidecar Rear __ Soft CERTIFIED CORRECT: INSPECTED BY: MELVIN V. RAMOS Administrative Aid APPROVED BY: REQUIREMENTS: 1. Latest Registration ORICR-xerox copy for verification with the origina ROBERT FRANCIS S. AQUINO 2. Community Tax Certificate-owner -P50,00/driver- P30.00 OIC, Permits & License Division 3. Brgy. Clearance of Tricycle owner-(original copy wit seal) 4. Professional Drivers License-xerox copy 5. Xerox copy of Franchise 6. Environmental Clerance (MENRO) MAYOR'S PERMIT #. 7. llaw sa Loob ng Side car O.R. NO. 8. Deed of Sale (if applicable) Dated: