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PUKENA Technologies Ltd.
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» Part Time Driver Order Form
Part Time Driver Order Form
Help us fill this form to enable us understand your needs.
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Project Description
No of Drivers
Type of Driver
*
- Select -
One Driver for a day (Max 12 hours within Lagos): starts from N20,000 per day
Driver on hourly rate
Driver(s) for events:
Pick Up Service
Interstate Driver
Concierge auto service
Driver's Contract Period
E.g 3 hours, 12 hours, 1 day, 2 days, etc
Is there Provision for Accomodation
Yes
No
Home Address
Pickup Address
*
If different from home address above
Drivers Work Description
Please tell us in details what you want the driver to do for you, what time you want him resume work and close and any other duties you might want him to perform for you.
Booking Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2025
2026
Resumpton Time
*
- Select -
6am
7am
8am
9am
10am
Closing Time
*
- Select -
4pm
5pm
6pm
7pm
8m
Driver's preferred religion
*
Christian
Muslim
I don't mind
Vehicle Details
Should the driver come with a car?
*
- Select -
Yes (Not available)
No
Vehicle Type
*
- Select -
Car / SUV
Truck
Bus
Your Vehicle Transmission
*
Auto
Manual
Both
What type of Insurance do you have on your vehicle
*
Comprehensive Insurance
Third Party Insurance
Your Vehicle Brand
*
Your Vehicle Model
*
Your Vehicle Year
*
Personal Details
Full Name
*
Marital Status
- None -
Single
Married
Divorced
Your email address
*
Phone Number
*
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