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MEMBERSHIP FORM
Member and car details and accident history
1. Member Details
Individual
Company
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Driving License Front
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Driving License Rear
2. How old is your Taxi DC
Select Year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
3. Driver Type
Select
Owner driver only
Owner driver and random second casual driver
Owner driver and permanent second driver
4. Car Details
Add Five Images (Must)
Front
Rear
Driver side
Passenger side
Odometer
5. Previous Insurance
No
Yes
Club name
No of Accidents In Last 3 years
Select Number of Accidents
0
1
2
3
4
5
6
7
8
9
10
6. Membership Starting Details
7. Account Details
CLAIM EXCESS
Standard sedan/suv luxury vehicles excess $1500 ye
Standard basic excess owner/driver (Above 25 years): (Caprice, Kluger, Mercedes, Audi, Lexus)
$1,500.00
ADDITIONAL EXCESS IS PAYABLE ON TOP OF BASIC EXCESS IF THE FOLLOWING HAPPENS
$2,000.00
Standard sedan/station wagon vehicle/luxury vehicles
theft and fire excess where applicable ( pls read club rules in detail , fire if caused in accident, not electrical/fuel leak cause , theft not covered if thief has car keys )
$3,000.00
Standard basic excess for total loss: (Market Value as Taxi)
$2,500.00
If Second accident during short period, additional Excess plus basic excess: (Short Period of 6 months)
$500.00
Additional excess for drivers over 21 years but under 25 years
$1,000.00
Condition varies according to driver accident history
ADDITIONAL EXCESS IS PAYABLE ON TOP OF BASIC EXCESS IF THE FOLLOWING HAPPENS
Total claim cost including your car and 3rd party damage (Claims above $15,000.00 in total damages) - additional excess
$1,000.00
3rd party p2p excess is applicable on accidents reported after 72 hours of the accident .pls check 3rd party excess for reference
Standard sedan non luxury models vehicle excess $1300
Standard basic excess for listed Driver (Above 25 years)
$1,500.00
Standard sedan/station wagon vehicle
Standard basic excess owner (Above 25 years): (Caprice, Kluger, Mercedes, Audi, Lexus)
$1,500.00
Additional excess for drivers over 21 years but under 25 years
$1,000.00
Condition varies according to driver accident history
Standard basic excess for total loss, fire and theft (Market Value)
$2,500.00
If Second accident during short time, Excess goes up by (Short Period of 8 months)
$500.00
Unlisted Driver additional excess
3 party p2p excess is applicable on accidents reported after 72 hours
$1,400.00
10?ncellation charges applicable on membership
new heading
test subheading
$200.00
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rules and regulations and terms and conditions
of the club
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