Application for Specific Licence Number

(For the cost of specific Licence Number Click Here)

Please contact the Choice Numbers Section regarding the availability of Specific Licence Number before submitting the on line application.

Fill in the relevant information then click submit. An E-mail will be sent to Choice Numbers and you will be contacted as soon as possible. If you wish to Download the form and fill it in manually Click Here. You can then post/fax or email it to Choice Numbers. Click Here for Choice Numbers contact details

Name/Company Name:
Address:
Code:
Identification Number:
Contact Details
Telephone Number:
Facsimile Number:
E-Mail Address:
Specific Licence Number:
Date: (yyyy/mm/dd)
Dealers Details (when applicable)
Name:
Telephone Number:
Facsimile Number:

Please make sure that the Provincial Personalised Licence Number is applied for in the name of the person/company whose name the vehicle is licensed.

 

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