GIS NO:

CAR FOR RENT IN MANDAUE

GENERAL INFO SHEET FORM

Full Name _________________________________________Contact No.: ________________

Client Address_________________________________________________________________
Client Provincial Address________________________________________________________
Age ___________ Date of Birth _________________
License no.___________________________
Status:  Single  Married  Separated  Divorced
Who to call in-case of Emergency: _________________ Relationship: ___________________
Address: ______________________________________________________________________
Day/s to rent:
 1 day  2 days  3 days or more  1 month lock in
Others __________________

I hereby attest that all information in this information sheet and all documents supporting herein
are to the best of my knowledge true and correct. I also affirm that the data are directly written by
me with independence and without any intent of falsification or misrepresentation

___________________
Name and Date

Requirements:

Fill up the General information sheet

MOA signing
Driver’s license (to take picture)
1 Valid ID (to take picture)