Client (Car owner) *     
Phone Number (Mobile) *     
Home Address *     


Insurance Company     

Insurance Policy     

E-mail *

Date Of Birth     



I give consent to PHD Driver to operate my automobile in the event, I request their services. As a client of PHD, I understand and confirm that my automobile will be insured through my current insurance policy.

I undertake to pay the amount confirmed upon at the time the driver reaches me. And I also confirm to pay for the additional costs post 3am.

I shall not hold PHD or the driver liable for any damages of whatsoever nature in connection with the services rendered herein to me.

I shall myself be liable and responsible for any damages to my car.

I am not carrying on any activity of illegal nature or contrary to the rules, Regulations and Norms laid down by various authorities.

PHD shall not be liable or responsible if (i) any accident takes place, (ii) theft of car, belongings, petrol (iii) Ownership of the car and (iv) Insurance & Registration of the vehicle verification.

I shall provide with a prior notice of at least 2 hours in the event of cancellation failing which I undertake to pay the charges as mentioned above.

I shall render all assistance to each other for the smooth functioning of the terms and conditions as mentioned above.

In case of any dispute touching this contract, the courts at Mumbai alone will have jurisdiction


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