Country 

Driving license number

Date of expiry

Name

Gender

Date of birth

IC/Passport number

Passport expiry date

Contact number

Email

Address

Postcode

Vehicle model

Rental start date

Rental start time

Rental end date

Rental end time

Car Rental Booking Form

SECTION A: PERSONAL DETAILS
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Date of birth

Passport expiry date 

Email

Return Date

Return Time

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Name

Gender

IC/Passport number

Contact number

Address

Vehicle model

Collection Date

Collection Time

SECTION B: VEHICLE DETAILS
SECTION C: MAIN DRIVER - DRIVING LICENCE DETAILS

Driving license number

Date of expiry

SECTION D: OPTIONAL ADD-ON
Optional add on:

Kindly attached your IC and driving license at the box below:

IC
Driving license
PAYMENT DETAILS

Kindly make the Advance deposit payment of RM 300 to secure this booking and you may pay the balance on arrival to:
Account Name: Hubridy Company
Bank Name: Maybank

Account Number: 5112-3413-2337 

Payment Reference: (your name_car rental deposit)

Here is the link to respective bank:

Once payment done, kindly attach the receipt in the file below:

Choose file