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FORM FOR APPLICATION FOR LICENSE TO DRIVE A MOTOR VEHICLE. I am exempted from the medical test under Rule 6 of the Central Motor Vehicle Act,. Driver History Abstract Request Form DO-21 [pdf, rev 9/2009]. Wheelchair symbol Request for Medical Exemption to Apply Vehicle Sun-screening [pdf]. OS/SS-2 Odometer Dealer [pdf]. Junkyard Dealer [no longer licensed by NJ MVC] FORM 1. [See Rule 5(2)]. APPLICATION-CUM-DECLARATION AS TO vehicle for a period of not less than five years and if you have lost the sight of one (2) This declaration is to be submitted invariably with medical certificate in Form 1 A. 22 Nov 2017 Statutory form – 19 for licenses in form (20,21). the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. PRESENT ADDRESS (No., Street, City/Municipality, Province) East Avenue, Quezon City. LTO FORM NO. 21. DEPARTMENT OF TRANSPORTATION &
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