
- TOP in pink copy (fron) -
Transcription:
REPUBLIC OF THE PHILIPPINES
Department of Transportation and Communications
LAND TRANSPORTATION OFFICE
East Avenue, Quezon City
TEMPORARY OPERATOR'S PERMIT No. _________________________
I. To:
Driver's Name   _______(first)__________   _______(middle)__________    _______(last)__________
Address __________________________________________
DL/Permit No.______________ Plate # _______________ MVRR #
CR# __________________ P [ ]  H [ ]  G [ ]  D [ ]   Make ________ Model ________ Type ____________
Owner: ________________________________
Address___________________________________
VIOLATION(S)
You are hereby charged/cited for committing the violations marked "x" hereunder: (MC 89-105).
| [ ] 11  Unregistered MV* [ ] 1 Unlicensed driver* [ ] 42 Colorum/unfranchised operation* [ ] 15 Invalid or Suspended/revoked/expired CR* [ ] 2 Invalid or Suspended/revoked/expired DL (Driver's License)* [ ] 41 Out of line* [ ] 9 Student Driver not accompanied by LD [ ] 56d Discourteous driver/conduct [ ] 14 CR/OR not carried [ ] 52 CPC/PA/Permit not carried* [ ] 27 Unauthorized improvised plates* | [ ] 23  No required MV parts/acc* [ ] 34 No early warning device [ ] 36 No capability marking [ ] 33 No body (plate) number, for hire MV* [ ] 38 No tailgate/Not for hire sign [ ] 25 No front panel route* [ ] 59 Unauthorized wearing slippers/shirt [ ] 56b Allowing passenger on top of MV [ ] 57 Reckless driving [ ] 70z Obstruction | 
Place: _________________________    Date & Time: _________________________
Accident:  Yes [ ]     No [ ]
Driver is COMMANDED to appear at LTO/Traffic/City/Municipal Court ____________________ within 72 hours.
THIS SERVES AS DRIVER'S TEMPORARY OPERATOR'S PERMIT FOR 72 HOURS, UNLESS SPECIFIED FOR A SHORTER PERIOD OF TIME.
I hereby promise to appear at LTO/Traffic/City/Municipal Court above stated before expiration of this TOP within 72 hours to answer the above stated charges. It is understood that if I fail to settle my case within 15 days from the date of apprehension, it will cause the suspension/revocation of my license.
[ ] ADMITTED                                                                                    [ ] UNDER PROTEST
(Signature of Driver)
APPREHENSION REPORT
Apprehending LTO Law Enforcers/Deputized Agents are required to submit the apprehension report(s) to LTO within 24 hours, otherwise deputation shall be revoked.
NOTES/REMARKS
Apprehending Officer                                                                  LTO DID No.
______________________________________
(Signature over Printed Name/Unit & Station)
At the back side of the TOP..........

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