Certificate of Accreditation and Good Standing
Certificate of Accreditation and Good Standing
Certificate of Accreditation and Good Standing
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Email address *
mickeydonald0320@gmail.com
Peer/Operator Name *
Example: Juan Santos Dela Cruz (First, Middle, Last)
John Donald Misa Jalandoon
Example: 09161234567
09085551020
Year Model *
Example: 2017
2014
Engine Number *
Example: D4AAA123456
G3LADM059670
Chassis Number *
Example: MAAA1AA1AAA123456
MALA751AAEM054150
Example: 18-1234
2016-23312
OR/CR *
Terms of Agreement *
I certify that the information provided on this application is true, correct, complete, and
accurate. I understand that withholding of information or giving false information may result
to my permanent suspension from the Software, or legal actions taken against me. I free the
Compant of any liability that may result from my negligence or misrepresentation of
information provided above. I understand that this information will be used to determine my
eligibility as a GrabCar Peer. I further authorize disclosure of my personal information to
others by the Company or any of their authorized representatives, in order to evaluate and
determine my capacity to fulfill Requests. This authorization is valid for the duration of my
use of the Software. I acknowledge that the files attached to this form are true copies of the
original.