Nissan Oman – Suhail Bahwan Automobiles LLC

 

 

NISSAN 4x4

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MEMBERSHIP APPLICATION FORM

Obtain printable form

* Mandatory

First Name*

Family Name*

Name on the card*

(This is how you name will appear on your membership card)

N.I.D. / Resident Card* Number

Date of Birth

Address

Post Box

Postcode

Occupation*

Employment

Phone Res.

Phone Business

Mobile*

E-mail Address*

 

Details of Secondary members

1.

Name

Relationship

2.

 Name

Relationship

3.

 Name

Relationship

4.

 Name

Relationship

Vehicle Details*

First4WD?               

Yes

No

Driving License No

 

Fuel?                      

Petrol

Diesel

 

In consideration of the Rabitat Nissan 4x4, accepting me, the above named applicant, as a member of the Rabitat Nissan 4x4, I do herby indemnify that I will abide by the rules and regulations under the By-Laws and also so any particular event that is conducted under the Rabitat Nissan 4x4.

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Suhail Bahwan Group

Suhail Bahwan Group

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