Registration form

Vehicle Information

Vehicle Type

LGA Green No.

Chassis Number

Number Plate

Type of Operation

Owner's Information

Type of Ownership

CAC Number

Owner's NIN

Owner's Name

Owner's Phone

Owner's Email

Owner's State

Owner's LGA

Owner's Address

Owner's Date of Birth

Picture of Owner (if not Company)

Driver's Information

Driver's NIN

Driver's Name

Driver's Phone

Driver's Address

Driver's Email

Driver's State

Driver's LGA

Driver Date of Birth

Picture of Driver

Contact Info

No. 123 Mainstreet
Kano, Kano 70001

Email: contact@kanocvrs.ng
Phone: (123) 123-4567
Fax: (123) 123-4567

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