Book Online – Confirm

To confirm your booking, please complete the form below.

Your Details

Please provide following information so we can process your query.

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Driver 1 Details

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Mobile:
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Nationality of Licence *
Licence Number *
Date Issued *
Current Endorsements (Penalties):
When did you first obtain your driving licence?*:
Ever been disqualified or had insurance refused? (If Yes, please provide details)
Any accidents in the last 3 years? (If Yes, please provide details, even if not your fault):
Do you suffer from any mental or physical defects which may affect your ability to drive the vehicle in accordance with legal requirements and/or have you ever been advised not to drive on medical grounds by a doctor or other medical advisor? (If Yes, please provide details)

Driver 2 Details

Home:
Mobile:
Work:
Include your country and area code
Street:
Town/City:
Country:
Post / Zip Code:
Nationality of Licence
Licence Number
Date Issued
Current Endorsements (Penalties):
When did you first obtain your driving licence?:
Ever been disqualified or had insurance refused? (If Yes, please provide details)
Any accidents in the last 3 years? (If Yes, please provide details, even if not your fault):
Do you suffer from any mental or physical defects which may affect your ability to drive the vehicle in accordance with legal requirements and/or have you ever been advised not to drive on medical grounds by a doctor or other medical advisor? (If Yes, please provide details)

Driver 3 Details

Home:
Mobile:
Work:
Include your country and area code
Street:
Town/City:
Country:
Post / Zip Code:
Nationality of Licence
Licence Number
Date Issued
Current Endorsements (Penalties):
When did you first obtain your driving licence?:
Ever been disqualified or had insurance refused? (If Yes, please provide details)
Any accidents in the last 3 years? (If Yes, please provide details, even if not your fault):
Do you suffer from any mental or physical defects which may affect your ability to drive the vehicle in accordance with legal requirements and/or have you ever been advised not to drive on medical grounds by a doctor or other medical advisor? (If Yes, please provide details)

Driver 4 Details

Home:
Mobile:
Work:
Include your country and area code
Street:
Town/City:
Country:
Post / Zip Code:
Nationality of Licence
Licence Number
Date Issued
Current Endorsements (Penalties):
When did you first obtain your driving licence?:
Ever been disqualified or had insurance refused? (If Yes, please provide details)
Any accidents in the last 3 years? (If Yes, please provide details, even if not your fault):
Do you suffer from any mental or physical defects which may affect your ability to drive the vehicle in accordance with legal requirements and/or have you ever been advised not to drive on medical grounds by a doctor or other medical advisor? (If Yes, please provide details)

I/we confirm that the information provided above is true and accurate and that I/we accept Scotland Overland’s Terms and Conditions and Privacy Policy. I/we further agree to be bound by the terms and conditions of the Insurance which I have seen and read or have had the opportunity to see and read.