Online Vehicle Exchange Form
TERMS & CONDITIONS
HAVE DRIVEN CURRENT VEHICLE FOR AT LEAST 4 WEEKS
NO OUTSTANDING ARREARS
Hirer's Name
*
As Per NRIC
Hirer's NRIC Number
*
S1234567G
Mobile Number
*
E-mail
*
Current Car Model
*
HONDA ACCORD
HONDA AIRWAVE
HONDA CITY
HONDA CIVIC
HONDA FREED
HONDA GRACE HYBRID
HONDA SHUTTLE
HONDA SHUTTLE HYBRID
HONDA STREAM
HONDA VEZEL
HONDA VEZEL HYBRID
HYUNDAI AVANTE
HYUNDAI ELANTRA
HYUNDAI i30
KIA CERATO
KIA CERATO FORTE
KIA FORTE
KIA K3
MAZDA 2
MAZDA 3
MAZDA 6
MITSUBISHI ATTRAGE
MITSUBISHI LANCER EX
MITSUBISHI LANCER GLX
NISSAN ALMERA
NISSAN LATIO
NISSAN SYLPHY
SUBARU FORESTER
SUBARU IMPREZA
SUZUKI SX4
TOYOTA ALLION
TOYOTA ALTIS
TOYOTA AXIO
TOYOTA AXIO HYBRID
TOYOTA CAMRY
TOYOTA FIELDER
TOYOTA FIELDER HYBRID
TOYOTA ISIS
TOYOTA PREMIO
TOYOTA PRIUS HYBRID
TOYOTA SIENTA
TOYOTA SIENTA HYBRID
TOYOTA VIOS
TOYOTA WISH
VOLKSWAGEN JETTA
Current Car Plate Number
*
SLE1234C
Rental Agreement Number
*
Reason For Exchange
*
HIGH FUEL CONSUMPTION
PERSONAL PREFERENCE
RENTAL RATE
SIZE
VEHICLE ISSUES
OTHERS
What is the vehicle issue
0/200
1st Preference (Age of Vehicle)
*
LESS THAN 3 YEARS OLD
MORE THAN 3 YEARS OLD
Car Model (less than 3 yrs old)
*
HONDA GRACE HYBRID
HONDA SHUTTLE
HONDA SHUTTLE HYBRID
HONDA VEZEL
HONDA VEZEL HYBRID
KIA FORTE K3
MAZDA 2
MAZDA 3
MITSUBISHI ATTRAGE
MITSUBISHI LANCER EX
TOYOTA ALTIS
TOYOTA AXIO
TOYOTA AXIO HYBRID
TOYOTA PRIUS HYBRID
TOYOTA SIENTA
TOYOTA SIENTA HYBRID
TOYOTA VIOS
Car Model (more than 3 yrs old)
*
HONDA AIRWAVE
HONDA CITY
HONDA CIVIC
HONDA STREAM
HYUNDAI AVANTE
KIA FORTE
MAZDA 3
MITSUBISHI LANCER GLX
NISSAN SYLPHY
SUZUKI SX4
TOYOTA ALTIS
TOYOTA AXIO
TOYOTA VIOS
TOYOTA WISH
2nd Preference (Age of Vehicle)
LESS THAN 3 YEARS OLD
MORE THAN 3 YEARS OLD
Car Model (less than 3 yrs old)
HONDA GRACE HYBRID
HONDA SHUTTLE
HONDA SHUTTLE HYBRID
HONDA VEZEL
HONDA VEZEL HYBRID
KIA FORTE K3
MAZDA 2
MAZDA 3
MITSUBISHI ATTRAGE
MITSUBISHI LANCER EX
TOYOTA ALTIS
TOYOTA AXIO
TOYOTA AXIO HYBRID
TOYOTA PRIUS HYBRID
TOYOTA SIENTA
TOYOTA SIENTA HYBRID
TOYOTA VIOS
Car Model (more than 3 yrs old)
HONDA AIRWAVE
HONDA CITY
HONDA CIVIC
HONDA STREAM
HYUNDAI AVANTE
KIA FORTE
MAZDA 3
MITSUBISHI LANCER GLX
NISSAN SYLPHY
SUZUKI SX4
TOYOTA ALTIS
TOYOTA AXIO
TOYOTA VIOS
TOYOTA WISH
Declaration (Hirer)
By clicking YES below, I hereby declare that
I have driven the current vehicle for 4 weeks
I have agreed to extend my contract for further 5 weeks from the date of exchange
I have agreed to the minimum waiting time of 1 month for vehicle exchange due to high demand and vehicle availability
Hirer Declaration
*
YES
Date of Request
*
-
Day
-
Month
Year
Date Picker Icon
Submit
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