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Uber/Bolt Driver Order Form

Help us fill this form to enable us understand your needs.

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Project Description

No of Cars

What weekly returns do you expect *

Note that Extra Weekly Vehicle & Drivers Management fee charged by Pukena is N5,000

Home Address

Office Address *

Vehicle Details

Vehicle Type *

Vehicle Transmission *

Auto

Manual

Both

What type of Insurance do you have on your vehicle *

Comprehensive Insurance

Third Party Insurance

Vehicle Brand *

Vehicle Model *

Vehicle Year *

Vehicle Identification Number

Vehicle Registration Number

Personal Details

Full Name *

Marital Status

Your email address *

Phone Number *

Leave this field blank