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PERSONAL INFORMATION
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Full Name
Permanent Address
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Tel. No.
Mobile Phone
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E-Mail Address
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Date Of Birth
Day/Month/Year
Fax No.
BIKE RENTAL INFORMATION
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Bike Model
A. Scooter Honda SYM 50cc
A. Scooter Piaggio Typhoon 50cc
A. Scooter Piaggio NRG 50cc
A. Scooter Honda Tracker 50cc
A. Scooter P.G.O. 50cc
B. Scooter Piaggio Typhoon 80cc
B. Scooter Piaggio NRG 80cc
B. Scooter Aprilia Area 80cc
B. Scooter HONDA SYM 80cc
C. Aprilia Havana Auto 125cc
C. Honda Tracker Auto 125cc
C. Enduro YAMAHA DT-R 125cc
D. Chopper YAMAHA Virago 250cc
D. Enduro YAMAHA TTR 250cc
E. Chopper YAMAHA Virago 535cc
E. YAMAHA XT 600cc
E. Enduro KAWASAKI KLE 500cc
F. Chopper YAMAHA Virago 750cc
F. Chopper SUZUKI Intruder 750cc
F. Honda Transalp 650cc
F. BMW 650 F
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Pick Up Date
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Year
2006
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2010
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Pick Up Time
Time
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Drop Off Date
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December
Year
2006
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2010
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Drop Off Time
Time
00:00
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Other Comments
