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The league is divided into two streams: Northern and Southern. Teams compete within their respective streams during the regular season. The top four teams from each stream then combine for a playoff tournament to determine which club earns promotion to the Lesotho Premier League.
Sponsorship
Vodacom was a significant sponsor of the league until 2017. The league went without a sponsor until September 2021, when the Lesotho Post Bank signed a three-year deal, including naming rights to the league, now known as the Lesotho Post Bank League. The final-eight play-offs have been sponsored by Nedbank, a financial services provider from South Africa, since 2019.