Companies Form 1
Companies Form 1
(Regulation 2)
(In typescript and completed in duplicate)
PART A
APPLICANT’S DETAILS
1.
First Name
2.
Surname
3.
Gender
4.
Date of Birth
5.
Nationality
Identity Type
6. For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
7.
Identity Number
21.
Signature: Date:
PART D
DETAILS OF PERSON LODGING
22.
First Name
23.
Surname
24.
Gender
25.
Date of Birth
26.
Nationality
Identity Type
27. For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
28.
Identity Number
Phone Number Mobile
29. Include the
international code
Landline
(e.g. +260 for
Zambia)
30. Email Address
Plot/House/
Village
Street
Physical
31. Area
Address
Town
Province
Country
32.
Signature: Date: