ComfortDelGro Rent-A-Car Pte Ltd



RESERVATION FORM
Rental Details
Preferred Model*
Pickup Location*
Collision Damage Reduction*
Personal Accident Insurance*
Usage in Malaysia*
Pickup Date*
Pickup Time*	:
Return Date*
Return Time*	:
Note: Our operating hours is Mon - Fri (8.00am - 5.30pm), Sat (8.00am - 12.30pm). Excess hours charge applies for late return of vehicle. Please contact us at 6882 0800 / 1 during office hours to check for vehicle availability.
Remarks
Drivers Particulars
Title*
Full Name (as appeared in NRIC/Passport)*
Family Name
NRIC/FIN/Passport No. (Eg. S1234567A)*
Date of Birth*
Nationality*
Main Contact No.*
Other Contact No.
Fax No.
Email Address*
Drivers Licence Particulars
Driving Licence No.*
Country Issue*
Driving Licence Pass Date
Driving Licence Expiry Date

ADDRESS
Residential Address
Blk*
Road*
Unit No.
Building Name
Postal Code*
City
State
Country*

Hirer or driver must produce a valid Singapore Class 3 driving licence & NRIC, or valid international driving licence & passport. Driving licence must have been held for at least 2 years. Minimum age is 23 years old and maximum 65 years old. Reservation is subjected to vehicles' availability.


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