Republic of the Philippines

City of Malabon
OFFICE OF THE MAYOR
Malabon City Transportation Franchising and Regulatory Board
MCTFRB
REGISTRATION FORM

For Hire Private / Utility Supervision _____Renewal

Documents needed:
___Original and photocopy of MPTO (Renewal)
___Photocopy of LTO registration (0R/CR)
___Insurance policy
___Certificate of Roadworthiness
___ Barangay Certificate
_____ New
___ Community tax Certificate
___ Side Car Picture Front & Back (Private)
___ Deed of Sale (If needed)
___ Photocopy/Original of Franchise
___ Other supporting documents needed

Name of Operator

Complete Address
Contact No: _________________ TIN No: _____________________
Date of Birth: _________________ Citizenship:_____________________

Description of Tricycle unit

Motor No. __________________ Certificate of Franchise No________________

Chassis No __________________ COF Validity __________________________
LTO OR No.__________________ TODA ____________________________
LTO CR No.__________________ Body Color __________________________
Plate No. __________________ Route Zone __________________________

______________________________
Signature of Operator
_____________________
Date
For MCTFRB USE ONLY

PHYSICAL CONDITION OF TRICYCLE

Excellent Good Poor
1. Motor Condition ________ ________ _________
2. Chassis condition ________ ________ _________
3. Headlight ________ ________ _________
4. Tail light ________ ________ _________
5. Plate light ________ ________ _________
6. Brakes ________ ________ _________
7. Horn ________ ________ _________
8. Tires ________ ________ _________
9. Muffler ________ ________ _________
10. Silencer ________ ________ _________
11. Condition of Sidecar ________ ________ _________
12. Marking of sidecar ________ ________ _________
13. Zone : Color ________ ________ _________
REMARKS: ____________________________________________________________

This is to certify that the above mentioned motorized for hire has satisfactorily passed
during the physical inspection and evaluation test conducted by:
________________________________________
MCTFRB Inspector’s Signature Over Printed Name
RECEIVED BY: _________________ STICKER NO ____________________

RECORDED BY _________________ RELEASED BY __________________

VALID UNTIL ___________________