[S] AK Vehicle Loan REQUEST Form Loaning any Al-Khaadem vehicle must be requested through this form at least TWO DAYS IN ADVANCE. Step 1 of 4 25% Personal DetailsFull Name* Contact Number*Email* Picture of Identification Card or Passport*Accepted file types: jpg, jpeg, png, bmp, tiff, Max. file size: 128 MB.Upload Picture Front Side OnlyPicture of Driving License*Accepted file types: jpg, jpeg, png, bmp, tiff, Max. file size: 128 MB.VALID DRIVING LICENSE ONLY Vehicle DetailsLoaning fees are as below: 1. Mercedes Benz | RM50 per day Current condition: - slight scratch at the back door on left side - slight dent at the front grill 2. Suzuki APV MPV | RM100 per day Current condition: - slight scratch at driver's door handle - dent at undercarriage on left side 3. Jenazah Van | FREE Current condition: no scratches and dents 4. Weststar v80 Van (White) | RM100 per day Current condition: - radio antenna missing - slight scratch on the back bumper - heavy dent & scratch at the roof on right side - scratch at the roof on the backside - dent at undercarriage on left side - hairline scratch above driver's door 5. Weststar v80 Van (Sticker) | RM100 per day Current condition: - slight scratch at driver's door handle - the vinyl sticker came off at under sliding door 6. Weststar G10 MPV | RM100 per day Current condition: perfect conditionVehicle to Loan*Jenazah Van | WB5059FWeststar V80 (sticker) | VAG5711Weststar G10 (blue) | VBM8738 (Requires Sh Hussain's approval)Peugeot Traveller | RIMAU4331 (Requires Sh Hussain's approval) Loan DetailsPick Up Date* DD slash MM slash YYYY When do you want to pick up the vehicle from Al-Khaadem?Return Date* DD slash MM slash YYYY When do you plan to return the vehicle back to Al-Khaadem?Total Loaning Days*Please enter a number from 1 to 10.Purpose of Loan* Target Location* Where will you driving the vehicle to? E.g. Kuala Terengganu, Seremban Terms and ConditionsYOUR LOAN REQUEST - your request will be reviewed by Al-Khaadem office and may take up 2-7 days - you will be notified via email of your request result WHEN PICKING UP THE VEHICLE - you must record the mileage in the logbook located in the vehicle ACCIDENTS & DAMAGES - any accident or damage occur during your loan period, you are required to cover ALL the repair costs involved UPON RETURNING THE VEHICLE - you must wash the vehicle before returning the vehicle - you must return the vehicle with full tank petrol/diesel SUMMONS - if you are given summons during your loan period, you must be responsible to pay them in full PAYMENT - FULL PAYMENT (cash or bank transfer) must be done BEFORE the vehicle is picked up - Payment payable to Maybank 5642 7680 3000 | Pertubuhan Al-KhaademConsent I agree to all of the terms and conditions set forth by Al-KhaademSignature*
