APPLICATION FORM

CLIENT INFORMATION

Thank you! Your submission has been received!
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Please download this
Application Form
Complete and Mail it to
admin@lscbrokers.com


Please also attach these documents mentioned below together with your Application Form

NB.. This Applies to CARRIERS WHO WANT TO PARTNER WITH US AND BE IN OUR DATABASE!!!!!!

1.CIPC COMPANY REGISTRATION CERTIFICATE
2.COID LETTER OF GOOD STANDING
3.NPTR OPERATING LICENSE
4.PROOF OF INSURANCE CERTIFICATE/LETTER
5.CSD REGISTRATION
6.TAX CLEARANCE LICENSE
7.VEHICLE INSURANCE CERTIFICATE