Bulk SMS Service Application Form
For Insurance Agents
Agent Name
Agency/Company Name
Email Address
Phone Number
Estimated Monthly SMS Volume
Less than 1,000
1,000 - 5,000
5,000 - 20,000
More than 20,000
Purpose of SMS Service
DLT Registration Status
Registered
Not Registered
DLT Entity ID (if registered)
DLT Header/Sender ID
Additional Remarks
I hereby confirm the above details are true and correct.