ELLARINA SELISANA MOTORCYCLE RENTAL

Poblacion 2, Burgos., SDN

Contact No. 09484132676

RENTER
Name: __________________________
Middle Name: ____________________
Surname: ________________________
Nationality: _______________________
Date of Birth: _____________________ (mm/dd/yy)
Contact No. ______________________

RENTAL VEHICLE
Owner hereby agrees to rent the following vehicle:
MAKE: _________________ MODEL: ________________ COLOR: ______________________
PLATE NUMBER: _____________________

RENTAL PERIOD RATE

Owner agrees to rent vehicle to renter for the following period:
START DATE: _______________ END DATE: ____________________
Time Collected: _______________ Time Returned: __________________
All fuel shall be paid for by the renter.
Daily Rate: __________ No. of Days: _____________ Total Amount: ________

INSURANCE
The Renter hereby agrees that he shall fully indemnify the Owner for any all loss of or damage to the
vehicle during the term of this agreement whether caused by collision, fire, flood, vandalism, theft or any
other cause, except that which shall be determined to be caused by a fault or defect of the vehicle.

RETURN OF VEHICLE TO OWNER

The Renter hereby agrees to return the said vehicle to the Owner at ______________________ no later

than _____________________.

Signed at Poblacion 2, Burgos, Surigao Del Norte, Philippines on this _____ day of __________ 2022.

OWNER: RENTER:

____________________ _________________________
Signature over printed name Signature over printed name