SELF DRIVE FORM

First Name*

Middle Name

Last Name*

Date Of Birth*

Marital Status*

Nationality*

National Identification Type*

National ID Number*

Phone Number*

Your Email*

Enter a valid email

Last School Attended*

Year of Completion*

Emergency Contact Name*

Emergency Contact Number*

Address*

Ghana Digital Address / GPS Address*

Landmark Near By*

Renter's Occupation*

Renter's Place of Work*

Department*

Employee Identification Number*

Number of Years With Company*

Reason for Renting*

Who Will Drive The Car*

Location / Route*

Type of Vehicle*

Make / Model*

Color*

Rental Starting Date*

Time*

Rental Ending Date*

Time*

Route To Be taken*

Route taken must be clearly stated by the renter. Any alteration outside the jurisdiction will attract additional cost of ¢500.

Guarantor's Name*

Guarantor's Phone Number*

Relationship With the Renter*

How Long Have You Known The Renter*

Guarantor's Place Of Work*

Guarantor's Position At Work*

As a guarantor, you have agreed hereby to guarantee the due perfomance of the obligation of the renter under this agreement if the renter default payment, damange the vehicel or use the car to any criminal activity, the guarantor shall be held liable if the renter absconds.

Terms & Condition

1) A fee of Gh¢100.00 to be paid to the driver who delivers the car to the renter and comes for it.

2) Renter will bear the cost of any damage made to the car Owner must be informed immediately if renter causes any damage to the car whiles in use Renter can’t fix a damage without owner’s consent

3) Vehicle to be returned to specified location within date and time specified There is no grace period on vehicle return Any return after the indicated return time and date will be charged to renter at the maximum daily rate.

4) Absolutely no refunds, receipt for a repeated Mechanical Failure.

5) If vehicle will be taken outside the City owner must be informed because it comes with Different Charges.

6) Renter takes care of fuel Therefore, Car must be returned with the fuel gauge at the same level as it was rented.

7) Owner must be given a prior notice if Rental would be renewed.

8) The rented vehicle shall be operated by the renter or any other person with a requisite qualification to operate the vehicle.

9) The rented vehicle shall not be used to push, propel or tow another vehicle, trailer or any other thing.

10) The rented vehicle shall not be used for any race or in any competition.

11) The renter shall not operate the vehicle in a negligent manner (drunk).

12) Reason for renting must be stated clearly (eg Funeral, wedding etc).

13) If the vehicle would be used for more than a week, it must be subject to checks on weekly basis by the owner.

14) Commitment fee of 200gh will be deposited down and it will be given back after returning the vehicle with no issues. (for offline renters)

15) The renter has to come with the same level of fuel and in the same condition as at when it was picked up.

16) If the rented vehicle in question is seized or apprehended by a Police Unit due to any cause, the Renter will pay the owner an amount of money equal to the number of days the car spent at the police custody.

17) Rented car must be driven by the renter only and must not be given to any third party without seeking owner’s consent.

18) A renter must make a deposit fee of GH₵20 for washing of the vehicle after use Thus, if the vehicle was neat and washed as at the time the car was handed over to the renter [Refer to clause (15)].

Route taken must be clearly stated by the Renter.

The renter affirms that he / she is physically and legally qualified to operate the above described vehicle.

*Check here if you accept these terms.