Rider Application Form For Binge
Personal Details
Name
*
First Name
Last Name
Date Of Birth
*
-
Month
-
Day
Year
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Gender
*
Please Select
Male
Female
Identification
Ghana Card Number
*
Upload Your Ghana Card
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Your Digital Address
Do You Have A Driving License
*
Please Select
Yes
No
Driving License Number
*
Vehicle Details
Type Of Vehicle
Please Select
Car
Motorbike
Van
Tricycle ( aboboyaa)
Vehicle Registration Number
Vehicle Make & Model
Upload Vehicle Insurance/ MOT Test Certificate
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Work Details
Preferred Areas For Delivery
Tema
Central Accra
Lapaz
Spintex
Kasoa
Pokuase
Osu
Legon
Madina
Availability
*
Weekdays
Weekdays + Weekends
Weekends Only
Emergency Contact Details ( Name, number & relationship with person)
*
Preferred Payment Method
*
Please Select
Momo
Bank
Cash
Are you experienced in using GPS
Please Select
Yes
No
Somehow
Not Sure
If so, which one have you used before?
*
Google Maps
Waze
Other
Why do you want to work with Binge? Tell us about yourself and skills.
*
Agreement
Do you agree to a background check?
*
Please Select
Yes
No
Do you have the right to work in Ghana?
*
Please Select
Yes
No
Signature
*
Continue
Continue
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