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Personal information

Car Licence

Car insurance

General

Name

Surname

E-mail

Phone number

Drivers current address

Drivers D.O.B

Ordinary drivers licence

Licence number

Number

Expiry date

Drivers PSV Licence

Number

Expiry date

Registration of taxi

Type of car

Emergency Contact Number

Psv drivers licence

Insurance Company

Car Insurance Company

Policy Number

Expiry Date

Plate Number

Plate Owner

Misc

Car Insurance

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