Delicab Registration Form

Delicab Registration Form
Those fields marked with a (*) are compulsary fields which must be completed where as those not marked are optional and situational based.
Driver Name*
Referred By (Leave Blank if none)
Email Address *
Ic Number*
Driver's Address*
State*
Country*
Postal Code*
Mobile Number*
Bank*
Account Holder's Name*
Bank Account Number*
Vehicle Information
Please take note that our minimum required car model size is a Perodua Axia. Cars smaller than it example viva or kancil will not be considered. Cars 2009 and older will require an inspection by us. We will contact you for it.
Vehicle Type *
Vehicle Brand*
Car Colour*
Car Number Plate*
Year of Manufacture*
Required documents upload
Headshot Photo / Selfie

Upload a File
Please ensure that there is minimal distraction and that you are not wearing a hat/cap/ sunglasses etc. If you do wear glasses please wear them. Cancelof
IC / Kad Pengenalan (Front) *

Upload a File
Can be photocopied and crossed out on the top left corner for DELICAB but it must be CLEAR. Cancelof
Driving License (Front)*

Upload a File
Choose File Can be photocopied and crossed out on the top left corner for DELICAB but it must be CLEAR. Cancelof
Insurance Cover Note*

Upload a File
Must include Car Plate Number, Car Model, Year of Manufacture, Validity Period and Driver's Name Cancelof
Additional Driver Endorsement

Upload a File
Choose File For 2nd,3rd,4th Driver etc. Sometimes on the second page of the insurance policy. Cancelof
Car registration cert / Geran (Front)

Upload a File
For cars manufactured in 2016 as details will be missing on the insurance cover note. Cancelof
Car registration cert / Geran (Back)

Upload a File
For cars manufactured in 2016 as details will be missing on the insurance cover note. Cancelof
Road Tax Sticker

Upload a File
For cars manufactured in 2016 as details will be missing on the insurance cover note. Cancelof
Those fields marked with a (*) are compulsary fields which must be completed where as those not marked are optional and situational based.

We will get back to you within 48 hours. Thank you.
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