Philippine International Driving Permit (Pidp) Application Form
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2PHILIPPINE INTERNATIONAL DRIVING PERMIT (PIDP)
APPLICATION FORM
MAIN OFFICE: 2
Floor, AAP Tower, 683 Aurora Boulevard, Quezon City 1112 Tel: (63.2) 705.3333
nd
MAKATI OFFICE: 201 Makati Golf Club, 7232 Malugay Street, Bel Air, Makati City Tel: (63.2) 814.0584 Telefax: (63.2) 817.9758
ALABANG OFFICE: Mall Entrance, G/F, Alabang Town Center, Brgy. Ayala Alabang, Muntinlupa City Tel: (63.2) 850.9831 Fax: (63.2) 850.6903
Level 2, 21110 Robinsons Starmills City of San Fernando, Pampanga
PAMPANGA OFFICE:
Tel: (63.45) 436.1816
CEBU OFFICE: 105 CRM Bldg., Escario cor. Molave Sts., Cebu City Tel. (63.32) 268-2400
DAVAO OFFICE: G/F Abiva Bldg., McArthur Highway, Matina, Davao City Tel: (63.82) 299.49.61 to 62
LIPA OFFICE: 098-A Purok 1 Brgy. Tambo, Lipa City, Batangas Tel: (63.43) 784.7972 or (63.43) 784-7998
PIDP FORM NO.: A____________________
PERSONAL INFORMATION
Mr.
Ms.
Mrs.
Last name
First Name
Middle name
________________
__
Birth Date (MM/DD/YYYY)
Birth Place
Sex (M/F)
Civil Status
Age
Citizenship
ACR No. (if foreigner)
Occupation
Destination
Home Address
Zip Code
Tel. No.
Fax No.
Cell Phone No.
E-mail Address
Company Name
Company Address
Zip Code
Tel. No.
Fax No.
Authorized Representative
Contact No.
Address
LICENSE DETAILS
Driver’s License Received by
License No.
Date Issued (MM/DD/YYYY)
Expiry Date (MM/DD/YYYY)
Applicant Signature
License Type:
Non-Professional
Professional
Date (MM/DD/YYYY)
Card Type:
Non-Card
Card
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Restrictions
OFFICE USE ONLY
AAP Membership No.
O.R. No.
PIDP Released By
Type:
Regular Member
PIDP
Validity:
1 yr.
2 yrs.
3 yrs.
New
Renewal
Reinstatement
Expiry Date (MM/DD/YYYY)
Issued By
Remarks
PIDP No. (License)
Date Paid (MM/DD/YYYY)
Encoded By
Validity:
1 yr.
2 yrs.
3 yrs.
Insurance No.
Amount Paid
Printed By
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AAP Membership Number
Last name
First Name
Middle name
NAME:
Car Make
Car Model
Year Model
Color
Fuel Type
Car Details:
Plate No. ___________________________
Conduction Sticker No. ________________
Gas
Diesel
Car Make
Car Model
Year Model
Color
Fuel Type
Plate No. ___________________________
Conduction Sticker No. ________________
Gas
Diesel
Towing can be availed after 7 days
Requirements: 1. Membership in AAP or any FIA accredited motoring club or association
2. Original Philippine Driver’s License with photocopy
3. Latest 2X2 ID Photo colored with white background (2pcs.)
4. Original ACR / Passport showing the date of last arrival for foreigners, dual citizens and Filipino citizens born in other countries
5. Accomplish form at the back if applicable
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