Vendor Registration

Personal Details

First Name *

Middle Name (Optional)

Last Name *

Full Name (as on ID) *

Contact Number *

Email Address *

Gender *

Date of Birth *

Residential Address *

City *

Post Code *

Nationality *

Citizenship

I'm a UK Citizen
I'm a UK Resident (Non-Citizen)

Emergency Contact Name *

Emergency Contact Number *

Profile Photo *

Legal Identity

UK Passport / ID Card Number *

Resident Passport / ID Card Number *

Passport / ID Card - Issued Date *

Passport / ID Card - Expiry Date *

Upload Passport / ID Card *

File name:

File size:

Upload Proof of Address *

File name:

File size:

National Insurance Numbers *

Self-Employment Doc Ref Number *

Self-Employment Document *

File name:

File size:

Driving License Information

Licensing Authority Name *

Driving License Number *

License Issuing Country *

License - Issued Date *

License - Expiry Date *

Front-side of Driving License *

File name:

File size:

Back-side of Driving License *

File name:

File size:

Work Permission Info

Business Insurance Document *

File name:

File size:

Work Permit Document *

File name:

File size:

Vehicle Information

Service Type *

Vehicle Type *

Vehicle Make Year *

Vehicle Make and Model *

Vehicle Color *

Vehicle Registration Number

Vehicle Registration Photo

Council-Issued PHV Plate Number *

PHV Number Expiry Date *

PHV Number Certificate *

Vehicle Load Capacity (in lbs)

No. of Passenger Seats *

Ownership Status *

Rental Vendor *

Insurance Provider *

Insurance Type *

Insurance Policy Number *

Insurance Expiry Date *

Insurance Policy Document *

File name:

File size:

V5C Logbook Reference Number *

MOT Expiry Date *

MOT Test Certificate *

File name:

File size:

Vehicle Image *

Payment Details

Paypal Email *

Bank Name *

Bank Sort Code *

Bank Account Number *