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  1. You may apply for your e-tag by downloading the pdf version here or simply filling in the form below.


    ACCOUNT APPLICATION FORM
  2. APPLICANT INFORMATION
  3. VEHICLE INFORMATION
    1. VEHICULAR REGISTRATION DETAILS
      S.N. LICENSE PLATE NUMBER VEHICLE CLASSIFICATION VEHICLE MAKE VEHICLE MODEL VEHICLE COLOUR
      1
      2
      3
      4
      5
  4. PREFERRED PAYMENT CHANNEL
  5. PREFERRED PICKUP LOCATION OF YOUR TOLL DEVICE
    1. SELECT ONE BRANCH
      Access Bank Plc



  6. REGISTRATION CHECKLIST
    1. The underlisted are supporting documents required for the successful processing of your application. Please tick the documents that you have and scan them to registrations@lcc.com.ng . Note that your application may not be processed until you have submitted the supporting documents in person or by email
  7. CUSTOMER AGREEMENT
    1. I certify that I have provided valid information in this form and I authorize that transactions be carried out based on the supplied information subject to terms and conditions which I have read and agreed to.

    2.  I agree to the above terms

  1. You may apply for your e-tag by downloading the pdf version here or simply filling in the form below.


    ACCOUNT APPLICATION FORM
  2. APPLICANT INFORMATION
  3. VEHICLE INFORMATION
    1. VEHICULAR REGISTRATION DETAILS
      S.N. LICENSE PLATE NUMBER VEHICLE CLASSIFICATION VEHICLE MAKE VEHICLE MODEL VEHICLE COLOUR
      1
      2
      3
      4
      5
  4. PREFERRED PAYMENT CHANNEL
  5. PREFERRED PICKUP LOCATION OF YOUR TOLL DEVICE
    1. SELECT ONE BRANCH
      Access Bank Plc



  6. REGISTRATION CHECKLIST
    1. The underlisted are supporting documents required for the successful processing of your application. Please tick the documents that you have and scan them to registrations@lcc.com.ng . Note that your application may not be processed until you have submitted the supporting documents in person or by email
  7. CUSTOMER AGREEMENT
    1. I certify that I have provided valid information in this form and I authorize that transactions be carried out based on the supplied information subject to terms and conditions which I have read and agreed to.

    2.  I agree to the above terms

 
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