Type of membership
Office Phone Number
Office Fax Number
Length of Employment
Gross Monthly Salary
My Driving Experience
Driver's Licence Number
I qualified for my Driver's Licence on
During the past 12 months, I've driven a vehicle independently for
Do you or your family own a car?
If yes, for how many years?
Other than a car, what other means of transport do you use frequently?
Have you been involved in any road accidents?
If yes, specify type:
Do you have any traffic demerit points?
If yes, how many points?
How did you find out about WhizzCar?
Referring Member's ID / Promo Code / Others
Please attach and upload clear copies of the following documents (PDF or JPEG):
1) NRIC/FIN (front and back)
2) Driver’s license (front and back)
3) Proof of income (recent payslip, tax return, or CPF contribution statement)
Write the security code in the image above
If I/We have requested for a Supplementary Card to be issued, I/We accept that I/We
shall be jointly and severally liable for all charges incurred on the Supplementary