What must all drivers' license holders secure before processing their renewal in LTO?

To process the renewal of a driver's license in the Land Transportation Office (LTO), it is required for all drivers' license holders to secure specific documents that confirm their eligibility to continue driving safely. The correct answer encompasses more than just a single requirement.

A medical certificate is needed to ensure that the driver meets the necessary health standards to operate a vehicle. This document verifies that the individual has no medical conditions that could impair their ability to drive safely.

Comprehensive Drivers Education may also be a prerequisite, particularly for those renewing their licenses for the first time after a certain age or after a specified period. This program enhances driving skills and knowledge of current road rules and regulations.

In some instances, depending on the individual’s situation, such as if there have been infractions or if the driver has been away from the roads for a long time, a driving skills test may be mandated.

Therefore, since the renewal process may require obtaining all of these elements to ensure that the driver is fit and knowledgeable about safe driving practices, selecting the option that states all of the above reflects the comprehensive nature of the requirements set forth by the LTO.