Date(Required) DD slash MM slash YYYY Full Name(Required)Email(Required) Vehicle Registration(Required)Please use exact format of number plate (uppercase with spaces) for example KT67 ABCMileage at check-in(Required)General Check-InClean Inside(Required) Yes No Clean Outside(Required) Yes No Number Plates Present(Required) Yes No Spare Tyre(Required) Yes No Exterior Check-InPassenger Side Body(Required) OK Damaged Driver Side Body(Required) OK Damaged Front Body(Required) OK Damaged Rear Body(Required) OK Damaged Roof(Required) OK Damaged Windscreen(Required) OK Damaged Windows(Required) OK Damaged Passenger Side Mirror(Required) OK Damaged Driver Side Mirror(Required) OK Damaged Tyres/Wheels Front(Required) OK Damaged Tyres/Wheels Rear(Required) OK Damaged Fuel Cover/Cap(Required) OK Damaged Interior Check-InHorn(Required) OK No Dashboard/Gauges(Required) OK No Interior Mirror(Required) OK No Stereo/GPS(Required) OK No Wipers(Required) OK No Seats(Required) OK No Carpets/Floors(Required) OK No Ceiling/Liner(Required) OK No Mechanical Check-InOil(Required) OK No Transmission Fluid(Required) OK No Brake Fluid(Required) OK No Water/Coolant(Required) OK No Engine Belts(Required) OK No Battery(Required) OK No Heater/AC(Required) OK No Head/Side/Full-Beam lights(Required) OK No Indicators(Required) OK No Reverse Lights(Required) OK No Hazard/Additional Lights(Required) OK No Fuel Tank(Required) 1/4 1/2 3/4 Full Notes and Additional Information(Required)Include all necessary information relevant to the answers previously stated. State NA for Not ApplicableSignature(Required)By signing you confirm that the answers given are true and correct at the time of signing and that you understand that there is NO SMOKING in the vehicle at any time.PhoneThis field is for validation purposes and should be left unchanged.