AL KHULAFA TRADING & TRANSPORTING

Automobile Rental & Sales

st
1 Floor, Al Mana Tower, Airport Rd., Doha, Qatar
Mobile#33397654 & Tel/Fax#44652660
Agreement Number:
VEHICLE HIRE AGREEMENT
DATE :0/00/2013

) (

Please quote this number in all correspondence

LOCATION : Doha, Qatar

Hirer Details
Hirer Name:

Vehicle Details

Registration No.

----------------------------------------------------------------------------------------------Address in Qatar

-------------------------------------------------------------------------------------------------------------------Permanent Address

Driving License Details

Number

---------------------------------------------------------------Issued At

---------------------------------------------------------------Valid Up To

---------------------------------------------------------------Credit Card Details
Number
---------------------------------------------------------------Expiration Date

Passport Details
Passport

------------ --------------- --------------Nationality :

------------------------------------------------Visa Type Working

-------------------------------------------------

Contact Details

Telephone No.

-----------------------------------------------Email:

Services & Charges

Rate

Units

---------------------------------------------------------------Type of Car
Sunny

----------------------------------------------------------------Fleet No.

Check IN/OUT Details

Out Date

00/00/2013

Renting Details

Traffic Fines

------------------------------------------------------------------------Out time
--------------------------
----------------------------------------------Out Kms
/
------------------------------------------------------------------------In Date
---------------
---------------------------------------------------------In Time
--------
----------------------------------------------------------------In Kms
/

Amount

Rental

Collision Damage
*Waiver (CDW)
*Super Damage
waiver (SDW)
Personal Accident
*Insurance (PAI)
Delivery
Collection
Damage Repairs
Fuel
Baby Seat
Global Positioning
system(GPS)
Others
Total Charges

Type of Hire
Start Date

Date Due back:

00/00/2013

No. of Days
Rate Qrs.

Special Rates /

CDW*
SDW*
Excess Applicable
Cash/Credit
Security

This rental agreement is not valid for other

transportation services

QR

I/We acknowledge that I/We have read and

understood the terms and conditions written above and
all the information's filled are true and correct, hereby
acknowledge myself/ourselves bound thereby.
Hirer Signature: ______________________________

Full Name: __________________________________

/ /
/
. / /

ALL CHEQUES SHOULD BE DRAWN IN FAVOR OF

"AL KHULAFA TRADING & TRANSPORTATION"