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Operators Data Sheet TNVS

1. This document is an operator data sheet from the Land Transportation Franchising & Regulatory Board for Joy Nalie J. Gutierrez applying for a Transportation Network Vehicle Service (TNVS) franchise with one authorized unit. 2. Joy Nalie J. Gutierrez is listed as the single proprietor operator with personal details and address provided. 3. One authorized driver, Willie Austria, is listed along with their license information. 4. Joy Nalie J. Gutierrez attests that the information provided is complete, true and correct and commits to informing the board of any changes within 15 days.

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Ronnie Lanit
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168 views

Operators Data Sheet TNVS

1. This document is an operator data sheet from the Land Transportation Franchising & Regulatory Board for Joy Nalie J. Gutierrez applying for a Transportation Network Vehicle Service (TNVS) franchise with one authorized unit. 2. Joy Nalie J. Gutierrez is listed as the single proprietor operator with personal details and address provided. 3. One authorized driver, Willie Austria, is listed along with their license information. 4. Joy Nalie J. Gutierrez attests that the information provided is complete, true and correct and commits to informing the board of any changes within 15 days.

Uploaded by

Ronnie Lanit
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Transportation
LAND TRANSPORTATION FRANCHISING & REGULATORY BOARD
East Avenue, Quezon City

OPERATOR DATA SHEET

TYPE OF OWNERSHIP X Single Proprietorship Corporation

Partnership Cooperative

1. CASE NUMBER TNVS-2023-13122 NO. OF AUTHORIZED UNITS ONE (1)

TYPE OF SERVICE PUJ SB AUV


TH TX PUB_AC_REG
TTS SHS X TNVS
`

OTHER EXISTING FRANSHISES

CASE NUMBER TYPE OF SERVICE NO. OF AUTHORIZED UNITS GARAGE LOCATION

GARAGE ADDRESS WITH GARAGE DIMENSION

Direct Line 434-80-25 up to 36 Fax no. 921-2616


426-25-05, 426-25-01 426-2485
NO. OF UNITS PER GARAGE ONE

OWNED YES NO

LEASED YES NO

NAME OF LESSOR

II. FOR INDIVIDUAL OPERATOR:

LAST NAME GUTIERREZ


FIRST NAME JOY NALIE
MIDDLE NAME JUDIN
DATE OF BIRTH 10/07/1999 SEX: F M
TIN NO. 393-107-034-000
BUSINESS ADDRESS BLK 32 LOT 9 PH3 F1 BRGY. 12 DAGAT-DAGATAN CALOOCAN CITY
MAILING ADDRESS BLK 32 LOT 9 PH3 F1 BRGY. 12 DAGAT-DAGATAN CALOOCAN CITY
PHONE NUMBER 09212012477
EMAIL [email protected]

SPECIMEN SIGNATURE

III. FOR CORPORATION/COOPERATIVE/OTHERS

NAME OF CORPORATION/COOPERATIVES/OTHER

SEC/CDA REGISTRATION NO. TIN NO.


BUSINESS ADDRESS
MAILING ADDRESS
PHONE NUMBER
EMAIL

IV. Authorized Representative [Note: Only the authorized representative identified in this sheet will be
allowed to transact business in the agency for and on behalf of the owner]

LAST NAME _
FIRST NAME
MIDDLE NAME
DATE OF BIRTH SEX: F M
TIN NO.
BUSINESS ADDRESS
MAILING ADDRESS
PHONE NUMBER
EMAIL

SPECIMEN SIGNATURE
V. Authorized Drivers

NAME ADDRESS Driver’s License Number Expiration Date

WILLIE AUSTRIA B36 L10 PH3 F1 SABALO ST. N04-03-493455 2032-09-26


GUTIERREZ DAGAT-DAGATAN BRGY.
12 CALOOCAN CITY

Operator undertakes that all information stated in this sheet are true and correct. Any misrepresentation and/or
unlawful withholding of information will warrant outright denial and/or cancellation of the franchise in accordance
with the Public Service Act. The Board reserves the right to VERIFY all information in this datasheet and to institute
appropriate criminal prosecution for any act prejudicial to the public interest.

ATTESTATION AND UNDERTAKING

I, JOY NALIE J. GUTIERREZ, do hereby ATTEST that the foregoing information are complete , true and
correct to the best of my knowledge and belief. I commit to inform the Board in writing any subsequent changes in this
data sheet within 15 days from knowledge thereof.

JOY NALIE J. GUTIERREZ


Signature over Printed Name

SUBSCRIBED AND SWORN TO before me this ________________________________, a notary Public for


and in the city of _____________________________________,the affiant showing to me his/her identification card
with no. TIN ID No. 393-107-034-000.

Doc No. : ____________


Page No. : ____________
Book No. : ____________
Series of : 2023

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