Independent Travel Courier Application

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1Personal Information

2Travel Details

3Courier Eligibility & Compliance

4Airport Transportation

5Payment Preference

6Declarations & Consent

Personal Information

Layout

Full Legal Name (as on passport) *

Date of Birth *

Phone Number (WhatsApp preferred) *

Email Address *

Current City & State *

Travel Details

Departure Airport *

Please Specify Departure Airport *

Destination Airport *

Airline *

Flight Date *

Number of Checked Bags Included in Your Ticket *

1
2
More than 2

Are You Willing to Carry Pre-Sealed Checked Luggage on Behalf of Home Delivery Express? *

Courier Eligibility & Compliance

Do You Have a Valid Passport and Ticket to Ghana? *

Are You Comfortable Checking In Luggage That Is Packed, Sealed, and Documented by Home Delivery Express? *

Do You Agree NOT to Open or Modify Any Assigned Luggage? *

Are You Willing to Carry Company-Owned Laptop Equipment in Carry-On (If Required)? *

Yes
No
Not willing

Have You Ever Had Issues with Customs or Immigration When Traveling to Ghana? *

If yes, please explain *

Airport Transportation

Do You Need Airport Pickup From Your Home? *

Pickup Address *

Preferred Pickup Time *

Payment Preference

Preferred Payment Method for Courier Stipend ($50 per bag) *

Cash (before departure)
Zelle
CashApp
Ghana Mobile Money
Other

Specify Preferred Payment Method for Courier Stipend *

Declarations & Consent

Courier Declaration *

I confirm that I am voluntarily participating as an independent travel courier for Home Delivery Express. I understand that all luggage assigned to me is packed, sealed, and documented by Home Delivery Express. I agree not to open, alter, or add any items to the luggage. I acknowledge that I am not an employee of Home Delivery Express.

Liability Acknowledgement *

I acknowledge that Home Delivery Express limits its liability and that I am responsible for complying with airline, TSA, and immigration rules during my travel.

Consent to Verification *

I consent to Home Delivery Express verifying my travel details for coordination purposes.

Digital Signature (Type Full Name) *

Date *

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