Cycle Rental Acceptance Form

Photo (Upload Your Photo)

The file Size should be maximum 2 MB

Your Name *

Father's Name *

Gender *

Male

Female

Others

Date Of Birth *

Address *

Phone No*

Email ID *

Instagram

Id Number (Aadhaar/Driving license or Voter card)*

Aadhar Number *

Upload a scanned copy of your aadhar card

The file Size should be maximum 2 MB

Driving License *

Upload a scanned copy of your driving license

The file Size should be maximum 2 MB

Choose A Package * Choose One Rental Basis - Local Rental Basis - Outstation Be An Explorer Package

Pick Up Date *

Pick Up Place *

End Journey Date *

End Point *

Choose Your Cycle Type *

MTB

Extra Accessories

FOR YOUR KIND NOTICE ALL THE SUGGESTED EXTRAS ARE CHARGEABLE

Elbow Guard

Knee Padding

Gloves

Back Light

Front Light

Reflector Stripe Suits

Energy Bar

Signature

Upload a scanned copy of your signature

The file Size should be maximum 2 MB

Parent Signature

If you are minor, upload a scanned copy of your parent's signature

The file Size should be maximum 2 MB

Date *

Time *

DECLARATION *

I realize the importance of wearing a helmet. A helmet must be worn at all times.I understand that this activity may result in severe injury, including but not limited to spinal or head injury.I understand that this activity may result in hazards posed by other bicycles and traffic or road conditions.I understand that there are no bicycle lanes in West Bengal & SIKKIM.

BE AN EXPLORER staff have answered any questions I have had.I understand these bicycles may not have visibility enhancement equipment such as blinking lights.

I have carefully read this agreement in its entirety and understand its content. I am aware this is an assumption of risk, waiver and release of liability and I sign it voluntarily. I also understand that I should not and may not participate in this activity if I am under the influence of alcohol or drugs.

If lessee is under 18 check the box below *

By signing for a minor, I am agreeing that I am their parent or legal guardian and am releasing be an explorer from any claims, lawsuits or responsibilities for that minor. Each of the undersigned has read this agreement for use of bicycle and release and waiver of liability.

Furthermore I agree to the terms of the be an explorer - bicycle rental agreement above.

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