MOTSHIDISI WA GAGO

ADDRESS:

344 Monnamere street Lerato 2880

TEL:

018 3633 157

FAX:

018 3633 504

E-MAIL:

admin@poloko.co.za

ON LINE APPLICATION FORM

Full names of the applicant
Applicant's contact number
Applicant's ID number
Applicant's residential address
1st dependent with his/her ID number
2nd dependent with his/her ID number
3rd dependent with his/her ID number
4th dependent with his/her ID number
5th dependent with his/her ID number
6th dependent with his/her ID number
7th dependent with his/her ID number
8th dependent with his/her ID number
9th dependent with his/her ID number
10th dependent with his/her ID number
  • Package A (I)
  • Package A (II)
  • Package B
  • Package C
Close Menu