LAGOS STATE GOVERNMENT
 MOTOR VEHICLE ADMINISTRATION AGENCY (MVAA)
 ALLOCATION OF REGISTRATION NUMBER
PERSONAL INFORMATION
I.D TYPE: e.g National Id
TITLE (MR/MRS/MS/MISS):  
SURNAME:    
FIRST NAME:    
OTHER NAME(S):  
SEX:    
DATE OF BIRTH (DD/MM/YYYY):  
PLACE OF BIRTH(CITY/TOWN):    
MARITAL STATUS:    
NATIONALITY:    
   
ADDRESS INFORMATION
HOUSE/FLAT/PLOT NUMBER:    
STREET (INCLUDE BLOCK NUMBER):    
LOCALITY (TOWN/ AREA WHERE STREET IS LOCATED):    
STATE:  
LG/LCDA OF ADDRESS:  
PHONE NUMBER(mobile)       
PHONE NUMBER (landline)   
EMAIL ADDRESS:    
OCCUPATION: