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Test Drive Indemnity Form

This form specifies that the Test Driver will take full responsibility when he/she test drives the Vehicle Owner’s vehicle.

Vehicle Details

In the event of any discrepancies between the Vehicle details herein and those provided by the Land Transport Authority (LTA), the latter shall prevail.

Registration No.

Make & Model

Date of Test Drive

Time of Test Drive


Test Driver's Information

Full Name

Identity / Passport No.

Contact No.

Email Address

A copy of this agreement will be emailed to you

Driving Licence

Please upload a clear photo of your driving licence (front & back)

Declaration

I, the Test Driver,
1. Undertake to indemnify the Vehicle Owner against all liabilities for claims, demands, actions, suits, losses, costs, charges, expenses, damages, death, personal injury (whether fatal or otherwise), caused during the test drive.
2. Will bear all loss or damage to the vehicle and any other losses, damage, cost and expenses whatsoever and howsoever caused during the test drive, without claiming from the Vehicle Owner’s motor insurance.
3. Agree that by using this document, I will not hold Infinite Mirai Pte Ltd liable for any claims, losses, damages or expenses arising from the usage of this document.
I, the Test Driver, declare and agree to the aforementioned indemnification terms.

Signature

I hereby acknowledge that I fully understand the terms.
Signature

Date of Signature