телефон:
E-Mail: sl_rent_a_car@mail.ru
 
         
 

Renter's form (invisible)

Please answer a questions in the following form and send it to sl_rent_a_car@mail.ru

 

This information is confidential and it is not to be made public

 

 1. Your name (if Your surname changed, write previous):____________________________________

__________________________________________________________________________________

 2. Date and place of birth:___________________________________________________________

 3. Passport (number, date and place of issue):___________________________________________

__________________________________________________________________________________

 4. Adress of registration:________________________________________________________________

 5. Actual residence:___________________________________________________

 6. Contact phone numbers (with an area code):___________________________________________________________

 7. Place of employment (position, adress, phone number): __________________________________________

__________________________________________________________________________________

 8.Marital status (Number of marriage years):__________________________________________

 9. Name of spouse:_____________________________________________________________

10. Date and place of birth:__________________________________________________________

11. Adress of registration:________________________________________________________________

12. Actual residence:___________________________________________________

13. Contact phone numbers (with area code):___________________________________________________________

14. Place of employment (position, adress, phone number): __________________________________________

__________________________________________________________________________________

15. Children (Name, date of birth):____________________________________________________

__________________________________________________________________________________

16. Parents (Name, adress of residence, contact phone number):___________________

__________________________________________________________________________________

17. Reason of rent:___________________________________________

18. Area of prospective using:___________________________

19. Driver's licence (date of issue, number):__________________________

20. Do You have Your own car?:_____________________________________________

21. Official car owner:_________________________________________________________

22. Brand of the car:_______________________________________________________________

23. License plate number/year of construction :_______________________________________________

24. Estate property (if You have, specificate):

а) apartments/adress__________________________________________________________________

б) house/adress_______________________________________________________________________

в) other/adress______________________________________________________________________

25. Pernicious habits (if You have, specificate):_________________________________________________

26. Do You smoke in cars?______________________________________________________

27. Do You have previous convictions?________________________________________________________

28. Do You take chronic medicine? (If - yes, specificate):___________________

29. Do You have bank account? (if - yes, specificate)______________________________________________

30. Write Your hobby:________________________________________________

31. Where and how do You prefer to relax/travel?_____________________________________________

32. From what source did You know about suggested service?_____________________________________________

 

 

 

 

Thank You for Your trust, "Izumrudnyi Bereg" Co Ltd

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Renter's form (invisible)