HRA Transportation - Fast, Reliable Delivery, Fridge Rental and Storage Services

Fride Rental Registration

First Name:

Last Name:

DATE OF BIRTH:

GENDER:

CONTACT NUMBER:

EMAIL ADDRESS:

RESIDENTIAL ADDRESS:

NAME OF INSTITUTION:

STUDENT ID:

COURSE OF STUDY:

YEAR OF STUDY:

RESIDENTIAL STATUS:

RESIDENCE NAME:

RESIDENCE ROOM NUMBER:

PREFERRED APPLIANCE SIZE:

Duration Of Rental:

PREFERRED START DATE:

EMERGENCY CONTACT NAME:

RELATIONSHIP TO EMERGENCY CONTACT:

EMERGENCY CONTACT NUMBER:

Certified Copy of ID Choose file

Proof of Residence Choose file

Recent Bank Statement Choose file

By ticking this box, you accept and agree to our terms and conditions.