Application for Government Allocation

Select Type
Individual     Corporate

Select Purpose
Residential     Commercial     Industrial     Agricultural     Religion

Surname

Other Names

Email

Phone (E.g. 080xxxxxxxx)*

Age

Occupation

Nationality

Director's Name

Director's Phone No.

Director's/Secretary Name

Director's/Secretary Phone No.

Select Plan
1 - 6 months                         7 - 12 months                         13 - 18 months

Justify why the lateness fee should be waived *