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GetBike Document Upload Form
please fill out the information below
25
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Geo Location
We will now collect your location for record purposes
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3
WhatsApp Number
*
This field is required.
Please enter a valid phone number.
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4
Confirm your home address
*
This field is required.
We need to know where you live
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5
Email
*
This field is required.
example@example.com
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6
Date of birth
*
This field is required.
Select your date of birth
-
Date
Year
Month
Day
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7
Name of a family member: Wife, brother, uncle...
*
This field is required.
First Name
Last Name
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8
Number for family member
*
This field is required.
Please enter a valid phone number.
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9
Name of Church Pastor
*
This field is required.
First Name
Last Name
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10
Number for Church pastor
*
This field is required.
Please enter a valid phone number.
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11
Do you have a valid motorcycle drivers license?
*
This field is required.
Code A or equivalent license to use on South African roads
YES
NO
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12
Picture: ID/Passport/Asylum
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
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13
ID/Passport/Asylum Number
*
This field is required.
Type in your ID, Passport or Asylum number
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14
Picture: ID/Passport
*
This field is required.
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15
Take a picture of yourself
*
This field is required.
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16
Picture: VISA/Work permit
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
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17
Picture: VISA/Work permit
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18
Your Drivers License FRONT
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
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19
Your Drivers License BACK
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
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20
Picture: Drivers License FRONT
*
This field is required.
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21
Picture: Drivers License BACK
*
This field is required.
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22
Bank Statement / Proof of Earnings
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
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23
Bank statement, proof of earnings
*
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24
Proof of Address
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
Browse Files
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25
Proof of address
*
This field is required.
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26
Which delivery platform do you work through?
*
This field is required.
MrD
UberEats
Bolt
Checkers Sixty60
Woolies Dash
Wumdrop
Other
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27
Cape Town Map
The next question relates to where you work on this map, so please look at this map carefully:
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28
Which areas do you currently do deliveries in?
*
This field is required.
We want to know where you work.
City Bowl
Atlantic Seaboard
Peninsula (Hout Bay etc.)
Southern Suburbs (Newlands, Claremont, Kenilworth)
Northern Suburbs (Durbanville etc.)
Blaauwberg (Bloubergstrand etc.)
Cape Flats
Helderberg
Other
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29
How many years have you worked in the delivery or courier industry?
*
This field is required.
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30
Upload screenshot of Platform Profile
This is to show you have a contract with the platform you are working on
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31
Unique ID
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32
Platform Profile: UPLOAD FILES
Upload the screenshot of your platform profile here
Drag and drop files here
Select files to upload
Max. file size
: 2.9MB
Browse Files
This is to show that you have a profile with the platform
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33
Consent to the sharing of personal information
*
This field is required.
By signing this form, you consent to your personal information to be processed by Fleet Finance Solutions (Pty) Ltd. ("FFS") and consent that FFS can share this information with other businesses, platforms in order to obtain and validate personal information including earnings information in order to perform its business functions including but not limited to an affordability assessment and credit check for the purposes of this application. This consent is effective immediately and will remain effective until such consent is withdrawn.
Clear
PLEASE SIGN ABOVE
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34
Tags
Todo
In Progress
Done
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