LTO Form No. 21 - Application for Student Driver's Permit / Driver's License / Conductor's License (APL)

Sep 18, 2026

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Annex A presents LTO Form No. 21 for applying for a Student Driver's Permit, Driver's License, or Conductor's License (APL). It includes instructions to complete the form accurately and print data legibly in capital letters, then submit it to the CSR/Evaluator with required supporting documents. The form gathers applicant identity, address, contact numbers, nationality, sex, birth date, height, weight, license number, civil status, and birthplace, plus application type, driving skill source, education, and parents’/spouse information.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Instructions

Applicant Information

Application Type and License Details

Emergency Contact Information

REPUBLIC OF THE PHILIPPINES DEPARTMENT OF TRANSPORTATION LAND TRANSPORTATION OFFICE East Avenue, Quezon City DISTRICT OFFICE Annex A LTO FORM NO. 21 No. APPLICATION FOR STUDENT DRIVER'S PERMIT / DRIVER'S LICENSE / CONDUCTOR'S LICENSE (APL) | INSTRUCTIONS | | | | | | 1. ACCOMPLISH THE FORM COMPLETELY 3. SUBMIT THIS FORM TO THE CSR/EVALUATOR TOGETHER WITH
2. PRINT DATA LEGIBLY IN CAPITAL LETTERS THE REQUIRED SUPPORTING DOCUMENTS | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | NAME(Family Name, First Name, Middle Name) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | PRESENT ADDRESS (No., Street, City/Municipality,Province) | | | | | | | | | | | | | | | | | | | | | | | | | | | | TEL. NO. / CP NO. | | | | | | | | | | | TIN | | | | | | | | | | NATIONALITY | | | | | SEX (M/F) | | | | | BIRTH DATE(YYYY/MM/DD) | | | | | | | | | HEIGHT(cm) | | | | | WEIGHT(kg) | | | | LICENSE
NUMBER | | | | | | | | | | | | | | | | | | | | | CIVIL STATUS (CS) | | | | | | | | | | | | | | | | | | | | | | | | | | | | BIRTHPLACE (City, Municipality, Province) | | | | | | | | | | | | | | | | | | | | | 1. SINGLE | | | | | 2. MARRIED | | | | | | | | 3. WIDOWED | | | | | | 4. SEPARATED | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | LICENSE CLASSIFICATION APPLIED FOR (LCA) | | | | | | | DRIVING SKILL ACQUIRED FROM (FOR DL APPLICANTS ONLY) | | | | | | | | | | | | | | | | HIGHEST EDUCATIONAL
ATTAINMENT (EA) | | | | | FATHER'S NAME(Family Name,First Name,Middle Name)(indicate even if deceased) | | | | | | | | | | | | | | | | | | | | | 1 STUDENT-DRIVER'S PERMIT (SP)
2 DRIVER'S LICENSE (DL)
3 CONDUCTOR'S LICENSCE (CL) | | | | | | | 1 DRIVING SCHOOL INSTRUCTOR | | | | | | | | | | | | | | | | POSTGRADUATE
COLLEGE
HIGH SCHOOL
ELEMENTARY | | | | | MOTHER'S NAME(Family Name,First Name,Middle Name)(indicate even if deceased) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | SPOUSE NAME(Family Name,First Name,Middle Name)(indicate even if deceased) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 2 PRIVATE LICENSED PERSON with DL NO.
NAME | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 3 TESDA ___________________________________INSTRUCTOR | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | EMPLOYER'S BUSINESS NAME | | | | | | | | | | | | TEL. NO | | | | | | | | | BLOOD TYPE | | | ORGAN DONOR YES NO | | | | ALL HEART EYES LIVER BONES | | | | | | | | | | | | | | | | | EYES COLOR | | | | EMPLOYER'S BUSINESS ADDRESS | | | | | | | | | | | | | | | | | | | | | | | | | | | | KIDNEYS CORNEA PANCREAS LUNGS SKIN | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

FAQs

What is LTO Form No. 21 used for?

It is used to apply for a Student Driver's Permit, Driver's License, or Conductor's License (APL).

What does the form collect from the applicant?

It collects personal details such as name, present address, nationality, sex, birth date, physical attributes, civil status, birthplace, and family/related information.

Where should the completed form be submitted?

Submit the form to the CSR/Evaluator together with the required supporting documents.

Sep 18, 2026

Upload by Aditya