:: Application Form

Membership Details
Type of Membership
 
My Personal Particulars
Full Name as in NRIC / Passport
NRIC / FIN / Passport No
DOB (dd/mm/yyyy)
Nationality
Race
Gender
Martial Status
Highest Education
Residence Type
Residence Is
Home Address
Country
Postal Code
Home Telephone No
Mobile No
Email Address
Payment Mode

 
My Work
Company Name
Office Address
Country
Postal Code
Office Tel No
Office Fax No
Job Status
Postion
Length of Employment years  months
Gross Monthly Salary
 
My Driving Experience
Driver's Licence No.
Type
I qualified for my Driver's Licence in (dd/mm/yyyy)
Licence Country
During the past 12 months, I've driven a vehicle independently for
Do you or your family own a car?
If Yes, for years
Other than a car, other means of transport used frequently
Involved in road accidents ?
If Yes, specify type
Any Traffic Demerit Points ?
If Yes, how many points ?
 
In Case of Emergency
Name
Relationship to Member
Emergency Home Telephone No
Emergency Mobile No
 
Referral
How do you get to know WhizzCar?
Member ID / Others
 
Declaration and Submission of Form

Upon clicking the "Submit" button below, we declare that all information stated herein are true and correct and hereby authorise WhizzCar of Popular Rent A Car Pte Ltd to verify the information in this application with any source that WhizzCar may consider appropriate. I/We agree that the approval of this application is subject to WhizzCar’s own discretion and that WhizzCar reserves the right to reject this application without providing details and information to us.

If I/We have requested for a Supplementary Card to be issued, I/We accept that I/We shall be jointly and severally liable for all charges incurred on the Supplementary Card issued.

I/We agree to the terms and conditions by WhizzCar where the said terms and conditions can be obtained upon request, which will be sent to us via snail mail. I/We agree that any use of WhizzCar’s Smart Card will constitute acceptance of the said by-laws, terms and conditions of membership and such variations as WhizzCar may from time to time make. I/We hereby declare that I/We am/are not undischarged bankrupts. I/We further declare that I/We are not involved in any unsettled legal suit. I acknowledge that the one-time entrance fee and monthly membership fee are required and not refundable once my application is processed and approved. The minumum commitment period is 12 months (not applicable for Trial Membership).