Lto Form 21 - Application For Driver'S License
Download a blank fillable Lto Form 21 - Application For Driver'S License in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Lto Form 21 - Application For Driver'S License with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF TRANSPORTATION & COMMUNICATIONS
LTO FORM NO. 21
LAND TRANSPORTATION OFFICE
East Avenue, Quezon City
No.
FIELD OFFICE
3 SUBMIT THIS FORM TO THE
APPLICATION FOR
1 ACCOMPLISH THE FORM CORRECTLY
CSR/EVALUATOR TOGETHER WITH
INSTRUCTIONS
THE REQUIRED SUPPORTING
DRIVER'S LICENSE
PRINT DATA LEGIBLY IN CAPITAL LETTERS
2
DOCUMENTS
NAME (Family Name, First Name, Middle Name)
PRESENT ADDRESS (No., Street, City/Municipality, Province)
TEL NO. / CP NO.
TIN
TO BE ACCOMPLISHED BY LTO PERSONNEL ONLY
LICENSE
NATIONALITY
GENDER (F/M)
BIRTH DATE (MM/DD/YY)
HEIGHT(cm) WEIGHT(kg)
NUMBER
RESTRICTION CODE
TYPE OF APPLICATION (TOA)
MOTORCYCLE/MOTORIZED TRICYCLES /
A. A. NEW
D. FOREIGN LIC. CONVERSION
CHANGE CIVIL STATUS
1
E- BIKES (LSV) TRIKES (A-1)
B. B. DELINQUENT/DORMANT
E RENEWAL
CHANGE NAME
VEHICLES UP TO 4500 KGS. GVW
LICENSE
F ADDITIONAL RESTRICTION CODE
CHANGE DATE OF BIRTH
2
(MANUAL AND AUTOMATIC CLUTCH)
C. CHANGE CLASSIFICATION
G DUPLICATE
OTHERS
VEHICLES ABOVE 4500 KGS. GVW
PROF TO NON-PROF
H REVISION OF RECORDS
3
(MANUAL AND AUTOMATIC CLUTCH)
NON-PROF TO PROF
CHANGE ADDRESS
TYPE OF LICENSE APPLIED
DRIVING SKILL ACQUIRED OR
AUTOMATIC CLUTCH ONLY UP TO 4500 KGS. GVW
(TLA)
(DSA)
EDUCATIONAL ATTAINMENT (EA)
4
FOR
WILL BE ACQUIRED THRU
AUTOMATIC CLUTCH ONLY ABOVE 4500 KGS. GVW
1 STUDENT PERMIT
1 DRIVING SCHOOL
1 INFORMAL
4 VOCATIONAL
5
ARTICULATED 1600 GVW AND BELOW
2 NON-PROFESSIONAL
SCHOOLING
5 COLLEGE
6
ARTICULATED 1601 UP TO 4500 GVW
3 PROFESSIONAL
2 LICENSED PRIVATE
2 ELEMENTARY
6 POST GRADUATE
7
ARTICULATED 4501 GVW AND ABOVE (TRUCK - TRAILER)
4 CONDUCTOR
PERSON
3 HIGH SCHOOL
8
YES
ORGAN DONOR
BLOOD TYPE
NO
CONDITIONS
CIVIL STATUS (CS)
HAIR
EYES
BUILT
COMPLEXION
1.SINGLE
1. BLACK
1. BLACK
1. LIGHT
1. LIGHT
2.MARRIED
2. BROWN
2. BROWN
2. MEDIUM
2. FAIR
WEARING CORRECTIVE LENSES.
A
3. HEAVY
3. DARK
3.WIDOW/ER
3. BLONDE
3. GRAY
4.SEPARATED
4. GRAY
4. OTHERS
DRIVE ONLY WITH CUSTOMIZED VEHICLE
B
5. OTHERS (Specify)
(Specify )
DRIVE ONLY W/ SPECIAL EQUIPMENT FOR UPPER
BIRTHPLACE (City/Municipality, Province)
C
OR LOWER LIMBS
D
DAYLIGHT DRIVING ONLY
FATHER'S NAME (Family Name, First Name, Middle Name) indicate even if deceased
WITH HEARING AID
E
MOTHER'S NAME (Family Name, First Name, Middle Name) indicate even if deceased
COMPUTATION OF FEES
AMOUNT
APPLICATION FEE
P
COMPUTER FEE
SPOUSE NAME (Family Name, First Name, Middle Name) indicate even if deceased
TOTAL
P
LICENSE FEE
EMPLOYER'S BUSINESS NAME
TEL NO.
ADDITIONAL RESTRICTION CODE
CHANGE CLASSIFICATION
REVISION OF RECORDS
EMPLOYER'S BUSINESS ADDRESS
COMPUTER FEE
OTHERS (SPECIFY)
P
PREVIOUS NAME (Family Name, First Name, Middle Name)
FILL THIS UP ONLY IF YOUR
NAME ABOVE IS DIFFERENT
TOTAL
P
FROM YOUR NAME IN
PREVIOUS LICENSE
THIS IS TO CERTIFY THAT I HAVE CAREFULLY EVALUATED THIS
APPLICATION INCLUDING THE SUPPORTING DOCUMENTS
THIS IS TO CERTIFY THAT
THE INFORMATION I HAVE
GIVEN IS TRUE AND
CORRECT.
SIGNATURE OF APPLICANT
PRINT NAME/SIGNATURE
QR-OPD-ADL R-1 03/01/10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal