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APPLICATION FORM FOR PUBLIC SERVICE MOTOR …

PSMVLS APPLICATION form : All fields are mandatory and should be completed in order to avoid any delays in processing your APPLICATION Page 1 of 4 APPLICATION form FOR PUBLIC SERVICE MOTOR VEHICLE loan SCHEME PART 1 For Official Use Only Customer Reference Number Account Number To be completed by applicants First Applicant Personal Details Dr/Prof/Mr/Mrs/Miss Surname Middle Name First Name Gender Male Date of Birth NRC NO. Female Office Telephone No. Mobile No.

PSMVLS – Application Form: All fields are mandatory and should be completed in order to avoid any delays in processing your application Page 1 of 4 APPLICATION FORM FOR PUBLIC SERVICE MOTOR VEHICLE LOAN SCHEME Town PART 1 For Official Use Only Customer Reference Number Account Number

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