These teams meet in a series of playoffs and block winners are promoted to either the First Division North or South depending on their geographical location.
Eleven Angels, Palapye All-Stars, Blue Stars and Jwaneng Fighters are the current champions.
The seventeen regional champions are divided geographically into four groups or blocks.
Every year one of the participating teams is asked to host the playoffs of their specific regional block.
Until 2015 the regional block champions progressed to final playoffs along with the runners-up, at the end of which only two teams were promoted to the first division as compared to four under the current format.