JITC CAR RENTAL SERVICE

25 Viscarra St. Greenheights Village,Paranaque City 1x1

Photo

PARTNER BIO-DATA
PERSONAL DATA

Name: ________________________________________________
City Address: _________________________________________________________________
______________________________________________________________________
Permanent Address: ___________________________________________________________
______________________________________________________________________
Landline No.: _____________________________ Mobile No.: _________________________
Facebook Name: __________________________ E-mail Address: _____________________
Date of Birth: _____________________________ Civil Status: _________________________
Driver’s License No. ________________________

Car Make / Model / Year / Color: __________________________________________________

Plate/Conduction No.___________________

Car Make / Model / Year / Color: __________________________________________________

Plate/Conduction No.___________________

Name of Spouse/Partner: _________________________ Contact No.: ___________________

Father’s Name: ________________________________ Contact No.: ___________________
Mother’s Name: ________________________________ Contact No.: ____________________

Person to be contacted in case of emergency: _______________________________________

Contact Number & Address: _____________________________________________________

EMPLOYMENT RECORD (Most recent)

Company Name: ______________________________________________________________

Position: ______________________________ Employment Period: _____________________

OPERATOR RECORD (If applicable)

Operator Name: ______________________________________________________________

Address: _______________________________________ Contact No.: __________________

C H A R A C T E R R E F E R E N C E S (Must not be related by blood)

Name: ___________________________________ Contact No.: ________________________

Company: ________________________________ Position: ___________________________

Name: ___________________________________ Contact No.: ________________________

Company: ________________________________ Position: ___________________________

Name: ___________________________________ Contact No.: ________________________

Company: ________________________________ Position: ___________________________

R E Q U I R E M E N T S (Please attach)

 Photocopy of OR/CR  Barangay Clearance

 Photocopy of Driver’s License  NBI Clearance
 Photo of driver with the vehicle  Police Clearance
 Proof of Billing  Google Map Location of residence
 Photocopy of ID of Owner (if car owner is different in OR/CR)
 Notarized Authorization Letter of Owner (if car owner is different in OR/CR)