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13-2 PERUMAHAN SUNGAI KERAK

21600 MARANG

TERENGGANU DARUL IMAN. anazlynn@gmail.com (tel: 019-9249132/019-9249134)

VAN HIACE DISEL 11 PENUMPANG : PANDU SENDIRI/DENGAN PEMANDU

SURAT PERJANJIAN SEWA VAN

NAMA PENYEWA : ........................................................................................................................

NO K/P

: ........................................................................................................................

NO TEL

: .........................................................................................................................JENIS LESEN

: ................... TARIKH LUPUT LESEN MEMANDU: .................................

ALAMAT

: ...........................................................................................................................

...........................................................................................................................

DESTINASI

: ..........................................................................................................................

TARIKH AMBIL/MASA/TEMPAT: .............................../............................./............................................

TARIKH HANTAR /MASA/TEMPAT : ............................../............................/..........................................

BAYARAN PENDAHULUAN: RM................... BAYARAN AKHIR

: RM....................

SAYA(PENYEWA) BERJANJI AKAN MENJAGA KENDERAAN INI SEBAIK MUNGKIN DAN AKAN BERTANGGUNGJAWAB SEKIRANYA BERLAKU :

a) KEROSAKKAN CERMIN

b) KEROSAKKAN CAT/KEMEK

c) KEMALANGAN KECIL

d) KEROSAKKAN DALAMAN

e) KEROSAKKAN ENJIN

f) SAMAN DOUBLE LINE/HAD LAJU

g) SAMAN PARKING

TANDATANGAN PENYEWA

TANDATANGAN PEMILIK VAN.........................................

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