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3
PERSONAL DETAILS
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New User
First Name *
Last Name *
Postal Address *
Town *
Email Address *
Mobile Number *
User Password *
Re-type Password
NRC or Passport No. *
* Required items
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2
VEHICLE DETAILS
Make / Model *
Year of Make / Colour *
Cubic Capacity *
Number Plate *
Engine No *
Chassis No *
Vehicle's Use * Social, domestic, pleasure
Professional purposes
Personally in your or employers business
By employees or other parties in your or employers business
For carriage of samples or trade goods of far requisites, produce or live stock
Value of Vehicle *
Premium Due K 0
3% Levy K 0
Total

K 0

* Required items
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5
REVIEW CART & CHECKOUT
(Includes 3% premium levy)

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