Appointment Scheduling
LTO Client ID
Location
Personal Information
Medical History
LTO Client ID
To create LTO Portal account please go to:
https://portal.lto.gov.ph
.
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We are open every saturday (except 3rd Saturday of the month due to system maintenance and if holiday)
If with a temporary injury/condition such as fracture/sprain we advise you to schedule when fully recovered/able to drive.
If your license is expired for 2 year and above kindly proceed to
LTO licensing offices
.
No Advance Renewal will be accomodated more than 1 month.
Region
City
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Medical information provides the examining physician an overview of your general health and enable him/her to focus on certain aspects which may require further examination and/or testing. The data on your physical and mental fitness is required to determine your driving qualifications. Failure to provide the information required herein is cause for refusal to issue a license or to withdraw driving privilege.
You are required by law to disclose any and all conditions that could affect the safe operation of a motor vehicle. Willful misrepresentation with respect to material information in driver’s/conductor’s license application including health condition/s is punishable by a fine of P20,000.00 (Section 23-B of R.A. 4136, as amended by R.A. 10930).
Purpose
Driving License Number
LTO Client ID
Surname
First Name
Middle Name
Address
Date of Birth
Gender
Male
Female
Nationality
Filipino (Philippines)
Afghan (Afghanistan)
Albanian (Albania)
Algerian (Algeria)
American (American Samoa)
American (United States of America)
Andorran (Andorra)
Angolan (Angola)
Anguillan (Anguilla)
Argentine (Argentina)
Armenian (Armenia)
Aruban (Aruba)
Australian (Australia)
Austrian (Austria)
Azerbaijani (Azerbaijan)
Bahamian (Bahamas)
Bahraini (Bahrain)
Bangladeshi (Bangladesh)
Barbadian (Barbados)
Belarusian (Belarus)
Belgian (Belgium)
Belizean (Belize)
Beninese (Benin)
Bermudian (Bermuda)
Bhutanese (Bhutan)
Bolivian (Bolivia)
Botswanan (Botswana)
Brazilian (Brazil)
British Virgin Islander (British Virgin Islands)
British (United Kingdom of Great Britain and Northern Ireland)
Bruneian (Brunei Darussalam)
Bulgarian (Bulgaria)
Burkinan (Burkina Faso)
Burundian (Burundi)
Cambodian (Cambodia)
Cameroonian (Cameroon)
Canadian (Canada)
Cape Verdean (Cape Verde)
Cayman Islander (Cayman Islands)
Central African (Central African Republic)
Chadian (Chad)
Channel Islander (Guernsey)
Channel Islander (Jersey)
Chilean (Chile)
Chinese (China)
Christmas Islander (Christmas Island)
Citizen of Antigua and Barbuda (Antigua and Barbuda)
Citizen of Bosnia and Herzegovina (Bosnia and Herzegovina)
Citizen of Guinea-Bissau (Guinea-Bissau)
Citizen of Kiribati (Kiribati)
Citizen of Seychelles (Seychelles)
Citizen of Vanuatu (Vanuatu)
Citizen of the Dominican Republic (Dominican Republic)
Cocos Islander (Cocos (Keeling) Islands)
Colombian (Colombia)
Comoran (Comoros)
Congolese (Congo)
Congolese (Democratic Republic of Congo)
Cook Islander (Cook Islands)
Costa Rican (Costa Rica)
Croatian (Croatia)
Cuban (Cuba)
Curacaoan (Curaçao)
Cypriot (Cyprus)
Czech (Czechia)
Danish (Denmark)
Djiboutian (Djibouti)
Dominican (Dominica)
Dutch (Netherlands)
East Timorese (East Timor)
Ecuadorean (Ecuador)
Egyptian (Egypt)
Emirati (United Arab Emirates)
Equatorial Guinean (Equatorial Guinea)
Eritrean (Eritrea)
Estonian (Estonia)
Ethiopian (Ethiopia)
Falkland Islander (Falkland Islands)
Faroese (Faroe Islands)
Fijian (Fiji)
Finnish (Finland)
Finnish (Åland Islands)
French Polynesian (French Polynesia)
French (France)
French (Saint Pierre and Miquelon)
Gabonese (Gabon)
Gambian (Gambia)
Georgian (Georgia)
German (Germany)
Ghanaian (Ghana)
Gibraltarian (Gibraltar)
Greek (Greece)
Greenlandic (Greenland)
Grenadian (Grenada)
Guamanian (Guam)
Guatemalan (Guatemala)
Guinean (Guinea)
Guyanese (Guyana)
Haitian (Haiti)
Honduran (Honduras)
Hong Konger (Hong Kong)
Hungarian (Hungary)
Icelandic (Iceland)
Indian (India)
Indonesian (Indonesia)
Iranian (Iran)
Iraqi (Iraq)
Irish (Ireland)
Israeli (Israel)
Italian (Italy)
Ivoirian (Côte d'Ivoire)
Jamaican (Jamaica)
Japanese (Japan)
Jordanian (Jordan)
Kazakh (Kazakhstan)
Kenyan (Kenya)
Kittitian (Saint Kitts and Nevis)
Korean (Korea)
Kuwaiti (Kuwait)
Kyrgyz (Kyrgyzstan)
Lao (Laos)
Latvian (Latvia)
Lebanese (Lebanon)
Liberian (Liberia)
Libyan (Libya)
Lithuanian (Lithuania)
Luxembourger (Luxembourg)
Macanese (Macau)
Macedonian (Macedonia)
Malagasy (Madagascar)
Malawian (Malawi)
Malaysian (Malaysia)
Maldivian (Maldives)
Malian (Mali)
Maltese (Malta)
Manx (Isle of Man)
Marshallese (Marshall Islands)
Martiniquais (Martinique)
Mauritanian (Mauritania)
Mauritian (Mauritius)
Mexican (Mexico)
Micronesian (Micronesia)
Moldovan (Moldova)
Mongolian (Mongolia)
Montenegrin (Montenegro)
Montserratian (Montserrat)
Moroccan (Morocco)
Mosotho (Lesotho)
Mozambican (Mozambique)
Namibian (Namibia)
Nauruan (Nauru)
Nepalese (Nepal)
New Caledonian (New Caledonia)
New Zealander (New Zealand)
Nicaraguan (Nicaragua)
Nigerian (Nigeria)
Nigerien (Niger)
Niuean (Niue)
Norfolk Islander (Norfolk Island)
North Korean (North Korea)
Norwegian (Norway)
Omani (Oman)
Pakistani (Pakistan)
Palauan (Palau)
Palestinian (Palestine)
Panamanian (Panama)
Papua New Guinean (Papua New Guinea)
Paraguayan (Paraguay)
Peruvian (Peru)
Polish (Poland)
Portuguese (Portugal)
Puerto Rican (Puerto Rico)
Qatari (Qatar)
Romanian (Romania)
Russian (Russia)
Rwandan (Rwanda)
Sahrawi (Western Sahara)
Saint Helenian (Saint Helena)
Saint Lucian (Saint Lucia)
Salvadorean (El Salvador)
Samoan (Samoa)
Sao Tomean (Sao Tome and Principe)
Saudi Arabian (Saudi Arabia)
Senegalese (Senegal)
Serbian (Serbia)
Sierra Leonean (Sierra Leone)
Singaporean (Singapore)
Slovak (Slovakia)
Slovenian (Slovenia)
Solomon Islander (Solomon Islands)
Somali (Somalia)
South African (South Africa)
South Sudanese (South Sudan)
Spanish (Spain)
Sri Lankan (Sri Lanka)
Sudanese (Sudan)
Surinamese (Suriname)
Swazi (Swaziland)
Swedish (Sweden)
Swiss (Switzerland)
Syrian (Syria)
Taiwanese (Taiwan)
Tajik (Tajikistan)
Tanzanian (Tanzania)
Thai (Thailand)
Togolese (Togo)
Tongan (Tonga)
Trinidadian (Trinidad and Tobago)
Tunisian (Tunisia)
Turkish (Turkey)
Turkmen (Turkmenistan)
Turks and Caicos Islander (Turks and Caicos Islands)
Tuvaluan (Tuvalu)
Ugandan (Uganda)
Ukrainian (Ukraine)
Uruguayan (Uruguay)
Uzbek (Uzbekistan)
Venezuelan (Venezuela)
Vietnamese (Vietnam)
Vincentian (Saint Vincent and the Grenadines)
Virgin Islander (Virgin Islands (U.S.))
Wallisian (Wallis and Futuna)
Yemeni (Yemen)
Zambian (Zambia)
Zimbabwean (Zimbabwe)
Civil Status
Single
Married
Separated
Widow/er
Height (cm)
Weight (kg)
Eye Color
Black
Blue
Brown
Gray
Other
Blood Type
N/A
A Positive
A Negative
B Positive
B Negative
AB Positive
AB Negative
O Positive
O Negative
Mobile Number
Email registered on you LTO Portal Account
Occupation
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Type N/A if not applicable
Have you been diagnosed, treated or confined for the following? (Please explain any "YES" answers)
Are you presently experiencing any adverse symptom/s that need medical attention?
NO
YES
How often do you see a physician?
Date of Last Examination by a Physician
Have you been hospitalized within the last five (5) years?
NO
YES
List the medications prescribed or used regularly or recently. (Please include dosage and frequency of use)
I certify to the best of my knowledge under penalty of perjury that the information I have provided in the preceding sections of this form is true and correct. I understand that any inaccurate, false, or missing information may invalidate the medical examination and the corresponding medical certificate.
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Submit
Your appointment has been submitted.
Please go to your scheduled appointment time only.
Please be at your selected clinic
5-10 mins before your time schedule
.
This is to prepare you on any onsite protocols or procedures they may have.