Business – Personalized and Special Registration Numbers

Name of business *

Proxy/Representative Initials *

Proxy/Representative Surname *

Proxy/Representative ID Number *

Postal Address *

Physical Address *

Business E Natis Identification number (BRNC number) *

Contact Number *

Email address *

Registration Number ( not applicable to new vehicles)

Vin Number ( On licence Disc ) or If New, on Registration Certificate *

Manner of Delivery *

Address if Different from above

Personalized/Special Number to be attended - Option 1 *

******GP *Note Numbers are subject to availability

Personalized/Special Number to be attended - Option 2 *

******GP *Note Numbers are subject to availability

Personalized/Special Number to be attended - Option 3 *

******GP *Note Numbers are subject to availability

Do you require us to allocate your Personalized/Special Number to the vehicle *

Phone

Requirements

Proxy/Representative Identification: original Copy ID/Valid SA Passport or Drivers Licence

Proof of address Fica approved document (IE – Utility bill, landline telephone bill, lease agreement) not older than 3 Months.

BRNC (Business registration number certificate)

Copy of Registration Document (RC1)