This agreement is made on [DD/MM/YYYY] between the following parties:
Representative |
TON NU HUY CHAU – Branch Director |
Tel: | (0236)391 8000 |
Fax: | (0236)391 8811 |
Tax Code: | 2300953399-002 |
Account No.: | 700007474100 (VND) |
At Shinhan Vietnam Bank – Ho Chi Minh Branch | |
(LRAC) | |
[Customer name / Company name] | |
Address | |
Representative: | |
Tel: | |
Fax: | |
Tax Code: | |
(Renter) |
The parties mutually agree as follows:
Vehicle model | Quantity | Specification | Vehicle Registration No. |
Total |
Coverage | Limits of Liability | ||||||
1. Physical Damage | Indemnity the total loss except as specifically excluded by the policy wording. | ||||||
2. Third Party Liability |
Legal liability for personal injury and/or property damage to
third party(ies) by the use of the insured vehicle.
|
||||||
3. Driver and Passenger |
Injury or death to driver and/or passengers caused by the traffic
accident
|
Executed as an agreement:
Signed and sealed for and on behalf of.
By:
Date: DD/MM/YYYY
Signed and sealed for and on behalf of
LOTTE Rent-a-car Vina Da Nang Branch
By:
Date: DD/MM/YYYY