Motorcycle Rent to buy application form

*Required Fields

1.Personal Information

Name: *

Surname: *

ID/Passport Number: *

Identity Type: *

Gender: Female Male Other *

Country of Origin: *

Current Address(RSA Only): *

Cell number: *

Whatsapp Number: *

email adress: *

Do you have a Valid Drivers License? : *

Do you have a Valid traffic Register? : *

Do you have a SA Bank Account? : *

Next Of Kin: *

Relationship: *

Next Of Kin Cellnumber: *

2. Employer Information and History

Name of Employer: *

Employer's Contact: *

Town where you are Working: *

Have You Rented a Motorcycle before?: *

Name of a person you rented from?: *

Contact of the person you rented from?: *

Reason for leaving the Motorcycle: *

3. Please attached the required documents. The maximum size is 500KB.

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