Information Request

Step 1 of 4

Officer Particulars

Your Full Name*

This field is required.

Your Role*

This field is required.

Your Mobile*

Please enter a valid mobile number!

Your Email*

Please enter a valid email!

Which country are you reaching out from?*

Select country

Which city are you in?*

Select City

If you selected 'Others', please specify the city:

State*

Enter a State

Step 2 of 4

Incident Details

Incident Reference Number

Date of incident*

This field is required.

Estimated time of incident*

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Address*

Please provide the closest address of the incident.

This field is required.

Other location detailsFrom which direction did the rider enter, exit etc.? This information will help us identify the rider as our app tracks trips through GPS.

Nature of Incident*

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Step 3 of 4

Incident Details

Description of e-vehicle*

This field is required.

Vehicle ID*

This field is required.

You can find the vehicle ID in the centre of your the handle bars, at the front of the vehicle, or on the back wheel of the vehicle.

Description of Rider*

This field is required.

Any other information?Do share any any other information you can provide us with regards to the incident.

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Submit

Step 4 of 4

Request for Information

What information do you require?*

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Please state your reason for requesting this data.*

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Officer Particulars

Incident Details

Incident Details

Request for Information

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