Passenger Transport Joint Venture Agreement

Vehicle Details

Before you start completing this form, please have the following documents ready for upload or to take pictures of:

Driver license
PSV Driver License
PSV White Paper License
Proof of insurance (if applicable)

Vehicle Make *

Vehicle Model *

Vehicle Registration *

Taxi License (Plate) Number *

Driver (Leasee) Details

Name *

Date of Birth *

You can manually enter date. Example: 23/02/1971 (23rd of February 1971)

Contact Number *

Email Address *

Address *

Drivers License

Full Irish Driver License Number *

Full Irish Driver's License Original Issue Date *

(date is on the back of the license)
You can manually enter date. Example: 31/01/1994 (31st of January 1994)

Full Irish Driver's License Expiry Date *

You can manually enter date. Example: 31/01/2028 (31st of January 2028)

Full Irish Driver License Photo (FRONT) *

Take Photo

Please make sure all details are clearly visible in the photo!!

Full Irish Driver License Photo (BACK) *

Take Photo

Please make sure all details are clearly visible in the photo!!

Driving History

Penalty Points *

Details of Penalty Points *

(example: traffic lights 2021)

Have You Even Been Disqualified From Driving? *

Yes No

Disqualification(s) Details *

Any Driving Convictions? *

Yes No

Conviction(s) Details *

Any Medical Conditions? *

Yes No

Medical Conditions *

Insurance

Insurance Type *

I have my own insurance Passenger transport joint venture partner provides insurance ( Do you have insurance, or you want the passenger transport joint venture partner (us) to provide insurance?)

Insurance Provider *

Own Insurance Policy Number *

Own insurance expiry date *

You can manually enter date. Example: 28/08/2028 (28th of August 2028)

Insurance Certificate *

Take Photo

Photo: Upload a clear readable photo
Digital File: Allowed file extensions: doc, ppt, pps, xls, mdb, docx, xlsx, pptx, odt, odp, ods, odg, odc, odb, odf, pdf, rtf, txt)

Lease Details

Partnership Commencement Date *

You can manually enter date. Example: 28/08/2028 (28th of August 2028)

Weekly Rate *

(amount agreed to be paid by the week)

Did You Pay a Deposit?

Yes No

Deposit Paid *

Vehicle Visual Defects

IMPORTANT!!
Please inspect the vehicle for exterior and/or interior damage, and if found, upload photos of same.

Visual damage(s) *

Yes No damage found

Visual Defects Photos *

Take Photo

Terms

I am the only person allowed to drive this vehicle.
I will check the vehicle daily for engine oil, coolant level and visual defects.
I will report any defects discovered during the daily check immediately to the owner.
In the event of a vehicle brake down, I will take all reasonable steps to ensure that the vehicle is secured in a safe location.
If the vehicle brakes down, I will report the incident to leaser, as soon as possible.
I assume all responsibilities for any offences committed under the road traffic act.
I must give one week notice prior to partnership agreement termination.
I am responsible for any loss or damage that may occur to the leasers property (vehicle & equipment) while in my possession.
I authorize the passenger transport joint venture partner to debit my credit/debit card for any loses caused to property, toll charges and fines.
At termination of partnership, I will return the vehicle clean.

I have read and agree with the partnership agreement terms & conditions. *

Yes

Mechanic24hr Passenger Transport Joint Venture Agreement

Mechanic24hr
Passenger Transport Joint Venture Agreement