Your Name *
IC/Passport Number *
Driving Licence Number *
Your Email *
Telephone Number *
WhatsApp Number *
State Origin * StateKuala LumpurPutrajayaSelangorNegeri 9MelakaJohorPerakP.PinangKedahPerlisKelantanTerengganuPahangSarawakSabahLabuan
Heir/Referance Name:
Heir/Referance Tel. Number:
Vehicle Model * Choose Your Rental CarPERODUA VIVA 660 (M)PERODUA VIVA 1.0 (A)PERODUA AXIA 1.0 (A)PERODUA MYVI 1.3 (A)PERODUA MYVI SE 1.5 (A)PERODUA NEW MYVI SE 1.5 (A)PROTON SAGA 1.3 FLX(A)PERODUA BEZZA 1.3 (A)PROTON SAGA VVT 1.3 (A)PROTON PERSONA 1.6 (A)TOYOTA VIOS E 1.5 (A)NISSAN ALMERA 1.6 (A)TOYOTA CAMRY 2.0 (A)PERODUA ALZA 1.5 STD (A)TOYOTA AVANZA 1.5 (A)NISSAN GRAND LIVINA 1.6 (A)PROTON EXORA 1.6 (A)TOYOTA INNOVA 2.0 (A)TOYOTA NEW INNOVA 2.0 (A)HUNDAI STAREX ROYAL 2.5 (A)TOYOTA ALPHARD (A)TOYOTA VILLFIRE (A)TOYOTA HIACE VAN 2.5 (M)NISSAN URVAN 3.0 (M)TOYOTA HILUX 3.0 (A)TOYOTA HILUX REVO 2.8 (A)ISUZU DMAX 3.0 (A)NISSAN NAVARA 2.5 (A)TOYOTA FORTUNER 2016 2.8 (A)
Pick Up Date * Pick Up Time *
Return Date * Return Time *
Pick Up Location *
Return Location *
Destination * e.g. Kudat, Ranau or Keningau
Flight Number
Notes (If Any)