Requirements 2 (PDF)

NEW CITIZEN’S CHARTER 2019
Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East
ACCREDITATION OF MEDICAL CLINICS – NEW
IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
GENERAL REQUIREMENTS FOR PRIVATE AND GOVERNMENT CLINICS OR
HEALTH FACILITES: (To be submitted in two (2) sets – 1 original and 1
photocopy)
1. Duly accomplished application form under oath and signed by the owner
of the medical clinic or Head of Agency of government health facility
2. Photographs of the exterior and interior of the medical clinic
3. Organizational Chart showing its personnel and their functions
4. List of all equipment, including manuals, reference materials required for
its calibration
ADDITIONAL REQUIREMENTS FOR PRIVATE MEDICAL CLINIC
1. Certified true copy of valid Mayor’s Business Permit indicating the type
of
ownership
(Sole
Proprietorship/Corporation
or
Partnership/Cooperative)
2. Bureau of Internal Revenue Certificate of Registration (photocopy)
3. Audited Financial Statement for the last two (2) years (photocopy) or a
pre-operating Financial Statement whichever is applicable, showing that
the owner-applicant shall be in such financial condition as to reasonably
expect it to operate for at least one (1) year
4. Certificate of Registration of personal information processing system as
proof of registration with the National Privacy Commission (NPC) in
accordance with Republic Act No. 10173 or the Data Privacy Act
(photocopy) or proof of Application pending release of Certificate of
Registration
REQUIRED FEE/S:
Application Fee
P5, 000.00
Legal Research Fund
P10.00
Total
P5, 010.00

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East
ACCREDITATION OF MEDICAL CLINICS – RENEWAL
IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
GENERAL REQUIREMENTS FOR PRIVATE AND GOVERNMENT CLINICS OR
HEALTH FACILITES: (To be submitted in two (2) sets – 1 original and 1
photocopy)
1. Duly accomplished application form under oath and signed by the
owner of the medical clinic or Head of Agency of government health
facility
2. One (1) photocopy of the previous Certificate of Accreditation
3. Original updated Organizational Chart showing its personnel and
their functions, if necessary
4. One (1) copy of duly accomplished Health Facility Geographic Form
(location map) and layout of the clinic, including dimensions (in case
of transfer of location)
ADDITIONAL REQUIREMENTS FOR PRIVATE MEDICAL CLINIC
1. One (1) Certified true copy of valid Mayor’s Business Permit/Proof of
application for renewal of permit
2. One (1) photocopy of latest BIR tax payment
3. One (1) photocopy of valid Certificate of Registration with National
Privacy Commission (NPC) of proof of application duly received by
NPC.
REQUIRED FEES:
Renewal Fee
P3, 000.00
Legal Research Fund
P10.00
Penalty (if renewal
P1, 000.00
Is applied after expiration
Of accreditation)
Total
P3, 000 or
P4, 000.00 if with penalty

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

ACCREDITATION OF PHYSICIANS – NEW

ACCREDITATION OF PHYSICIANS – RENEWAL

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
GENERAL REQUIREMENTS FOR PRIVATE AND GOVERNMENT PHYSICIANS:
1. One (1) copy of duly accomplished application form, endorsed by the
owner of the clinic or head of the government health faculty/agency or
the authorized representative
2. Two (2) pieces of 2x2 photo with name tag (taken within the last three
months prior to the date of application for registration)
3. One (1) Certified true copy of Certificate of Registration duly issued by
the Board of Medical Examiners of proof of application pending the
release of Certificate
4. Original Certificate of Membership and good standing from the
Philippine Medical Association or its component society
5. One (1) photocopy of the valid Professional Regulation Commission
license card (Original to be presented)
6. One (1) photocopy of valid government issued identification card (other
than PRC) with photo and signature (Original to be presented)
7. One (1) photocopy of Taxpayer’s Identification Number (TIN) card or any
document indicating the TIN (Original to be presented)
ADDITIONAL REQUIREMENTS FOR PRIVATE PHYSICIANS
1. One (1) photocopy of current Professional Tax Receipt (PTR) (Original
copy to be presented)
2. One (1) Certified true copy of approved appointment or Certificate of
Employment issued by the agency
3. Original copy of the Authority to Engage in the Private Practice of
Profession approved by the Head of Agency where he/she is employed
(for government physicians who desire to engage in private practice)
REQUIRED FEES:
Registration Fee
P3, 000.00
Total
P3, 000.00

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
GENERAL REQUIREMENTS FOR PRIVATE AND GOVERNMENT PHYSICIANS:
1. One (1) copy of duly accomplished application form, endorsed by the
owner of the clinic or head of the government health facility/agency or
the authorized representative
2. Two (2) pieces of 2x2 photo with name tag (taken within the last three
months prior to the date of application for registration)
3. One (1) photocopy of the valid Professional Regulation Commission
license card (Original to be presented), if necessary
4. One (1) photocopy of current Professional Tax Receipt (PTR) (Original to
be presented)
*To be required for government physicians who are engaged in private practice
REQUIRED FEES:
Annual Fee
P1, 000.00
Total
P1, 000.00

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

ACCREDITATION OF MANUFACTURERS, ASSEMBLERS, IMPORTERS,
REBUILDERS, DEALERS (MAIRDs) – NEW

ACCREDITATION OF MANUFACTURERS, ASSEMBLERS, IMPORTERS,
REBUILDERS, DEALERS (MAIRDs) – RENEWAL

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
CHECKLIST OF DOCUMENTARY REQUIREMENTS: (Two (2) sets – 1 original and
1 photocopy)
1. Duly accomplished application form under oath
2. Certified true copy of Mayor’s Permit specifying the classification of
business or Business Permit applying for
a. Plant, if applying for manufacturer, assembler, and rebuilder
b. Warehouse, if applying for importer
c. Display Center, if applying for Dealer
3. Original Affidavit of Undertaking under oath by sole proprietor or
highest-ranking company official that all stocks to be reported are
compliant with all Philippine laws, rules and regulations relating to
manufacture, assembly, importation, registration and use in the
Philippines.
4. Original Certification that the applicant has undergone the
Orientation on Accreditation
ADDITIONAL REQUIREMENT/S IF APPLYING AS:
1. Assembler – Certified true copy of Certificate of Membership
2. Rebuilder – Certified true copy of Certificate of Accreditation as
Rebuilding Center
3. Dealer – Photocopy of sales invoice approved by Bureau of Internal
Revenue (BIR)
REQUIRED FEES:
Application Fee
P500.00
Legal Research Fee
P10.00
Accreditation Fee
P3, 000.00
Total
PP3, 510.00

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
CHECKLIST OF DOCUMENTARY REQUIREMENTS:
1. Original duly accomplished application form under oath
2. One (1) Certified true copy of valid Mayor’s Permit/s or Proof
of Application for renewal of Permit with Official Receipt
3. Original duly notarized Affidavit attesting to its continuing
compliance with all the requirements for accreditation, stock
and sales reporting, unless there are changes thereto in which
case the applicant shall submit the applicable documents
4. One (1) photocopy of previous Certificate of Accreditation
REQUIRED FEES:
Application Fee
P500.00
Accreditation Fee
P1, 000.00 per classification
Legal Research Fee
P10.00
Total
P510 + P1, 000.00 per classification

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

ADJUDICATION OF CONTESTED APPREHENSION

SETTLEMENT OF ADMITTED REQUIREMENTS

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.
GENERAL REQUIREMENTS
1. Pink copy of the Temporary Operator’s Permit (TOP) or Affidavit of
Loss, in case of lost TOP
2. Resolution/Decision
ADDITIONAL REQUIREMENTS:
IF CONFISCATED DRIVER’S LICENSE/LICENSE PLATE
1. Photocopy of OR/CR (if applicable)
2. Original copy of Seminar Certificate (prior to Joint Administrative
Order [JAO] 2014-01 when applicable)
3. Original copy of Franchise verification (for franchise related
violation)
4. Original copy of Emission test result with MVIR (for smoke belching
violation)
IF MV IS IMPOUNDED
1. Original copy of Impounding Receipt of Motor Vehicle (IRMV) with
stencils of motor and chassis numbers
2. Photocopy of OR/CR (if applicable)
3. Original copy of Franchise verification (for franchise related
violation)
4. Original copy of Emission test result with MVIR (for anti-smoke
belching violation)
5. MVIS Inspection Report with Official Receipt (for violations requiring
inspection such as unauthorized/defective accessories,
unauthorized modification and the like)

GENERAL REQUIREMENTS
1. Pink copy of the Temporary Operator’s Permit (TOP) or Affidavit of
Loss, in case of lost TOP
ADDITIONAL REQUIREMENTS:
IF CONFISCATED DRIVER’S LICENSE/LICENSE PLATE
1. Photocopy of OR/CR (if applicable)
2. Franchise verification (for franchise related violation)
3. Certificate of Emission Compliance (for smoke belching violation)
4. MVIS Inspection Report with Official Receipt (for violations requiring
inspection such as unauthorized/defective accessories,
unauthorized modification and the like)
IF MV IS IMPOUNDED
1. Impounding Receipt of Motor Vehicle (IRMV) with stencils of motor
and chassis numbers
2. Photocopy of OR/CR (if applicable)
3. Franchise verification (for franchise related violation)
4. Certificate of Emission Compliance (for anti-smoke belching
violation)
5. MVIS Inspection Report with Official Receipt (for violations requiring
inspection such as unauthorized/defective accessories,
unauthorized modification and the like)

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION OFFICE
NCR-East

CERTIFICATION OF NO PENDING APPREHENSION AND ALARM

DUPLICATE CR/CRE

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.

IMPORTANT:
• Processing of transaction commence only upon submission of
COMPLETE DOCUMENTS
• Mark “√” for submitted documents and “x” for lacking documents.

CHECKLIST OF DOCUMENTARY REQUIREMENT
A. FOR EMPLOYMENT ABROAD
1. One (1) photocopy of Driver’s License
2. Formal letter request

CHECKLIST OF DOCUMENTARY REQUIREMENTS:
1. Original Affidavit of Lost CR, if encumbered should be with conformity of
the financing company
2. Duly accomplished Motor Vehicle Inspection Report (MVIR)

B. FOR LOCAL EMPLOYMENT AND LOST PLATE
1. Formal letter request
2. Duly authorized Affidavit of Loss
3. One (1) photocopy of Official Receipt/Certificate of Registration
(OR/CR)
4. Original and one (1) copy of any valid government issued ID with
photo and signature of the applicant
5. Original police report
C. OTHER REQUIREMENTS (For representative)
1. Special Power of Attorney (for individual)
2. Secretary’s Certificate (for corporation and other entities)
3. Original and one (1) copy of any valid government issued ID with
photo and signature of the applicant and representative

REQUIRED FEES:
Duplicate CR
Duplicate OR
IT Fee
Legal Research Fee
Total

P30.00
P30.00
P169.06
P10.00
P239.06