Today, I receive all God’s love for me. Today, I open myself to the unbounded, limitless, overflowing abundance of God’s Universe. Today, I open myself to your Blessings, healing and miracles.Today, I open myself to God’s Word so that I become more like Jesus Everyday. Today, I proclaim that I’m God’s Beloved, I’m God’s Servant, I’m God’s powerful champion, And because I am blessed, I will bless the world, In Jesus Name, Amen.

RUPTURED BRAIN ANEURYSM: Living with a Broken Brain

RUPTURED BRAIN ANEURYSM: Living with a Broken Brain. A unique insight into the fragility of the extraordinary human brain. A true st...

Saturday, August 4, 2012

Form Request For Helmet/ Visor ICC Stickers


Sample Form Request For Helmet/ Visor ICC Stickers. Please note that this form is FREE. You could get a copy of this form at the designated DTI offices or  download this here. If somebody ask for money please report them to the Head of that department.


Republic of the Philippines
Attachment 1
DEPARTMENT OF TRADE AND INDUSTRY – Region
Provincial Office


REQUEST FOR HELMET/VISOR ICC STICKERS
Control #:

Date:

Name : Address: Contact No(s).:
Brand of Helmet:
Date Acquired: Source from/ Bought
from (Establishment/Location):

I certify to the correctness of the above information and futher certify that the helmet has not been subjected to impact, dropped or used during a road accident.




Printed Name and Signature

Note: To be filled out by Standards Officer / Authorized Officer during evaluation:


Brand:

Other description / identifying marks:




Condition of helmet:
a. Safety parts complete & not broken (Shell,
- retention system, protective & comfort paddings
b. No dents, deformation or breakage nor signs of
- cracking or appreciable distortion

- c. No traces of application of paint, stickers, petrol or other solvents
d. Brand name and size still evident on the face of
- the helmet. Brand has not been altered.

- Others:



To Standards / Authorized Officers: Please encircle name of parts if available
Findings:
- Helmet compliant with BPS MC 1-A:2012

- Helmet not compliant with BPS MC 1-A:2012


Action: - Non-issuance
Issued ICC Sticker No.:
- For issuance




Name & Signature of Standards Officer / Date


1 comments:

Anonymous said...

i have an old helmet the shell is still good but the paint and the brand name is tearing off i tear them out completely and repainted it so the brand name is gone.is it still valid to be registered?as of now i dont have money to buy anew one

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