Public Registration

Vehicle Sticker Registration Form

De La Salle Medical Health Sciences Institute | Environmental Safety and Occupational Health

Fill out the applicant details and upload one valid driver’s license.

Applicant Full Name *

Applicant Type *

ID Number *

Department / Office *

Contact Number *

Email Address *

Complete Address *

Driver’s License * No file selected

You may add multiple vehicles under one application.

Vehicle Type *

Brand / Model *

Color *

Plate Number *

Engine Number *

Chassis Number *

Application Date *

Registration Expiration Date *

Are you the registered owner of this vehicle? *

Upload JPG, JPEG, or PNG files only.

OR/CR Document * No file selected

You must agree before submitting your application.

Applicant Information