0% found this document useful (0 votes)
19 views3 pages

Companies Form 1

Uploaded by

Joseph Banda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
19 views3 pages

Companies Form 1

Uploaded by

Joseph Banda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Form 1

(Regulation 2)
(In typescript and completed in duplicate)

THE PATENTS AND COMPANIES REGISTRATION AGENCY

The Companies Act, 2017


(Act No. 10 of 2017)
____________

The Companies (Prescribed Forms) Regulations, 2018


(Section 39)
Available at www.pacra.org.zm

APPLICATION FOR NAME CLEARANCE

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

8. Name of Body Corporate


Where applicant is a Body
Corporate
Nature of Body Corporate
9. Where applicant is a Body
Corporate, indicate whether
applicant is a Company, Co-
operative, Trust, Society, Etc.
Registration Number, Date
and Country of
10. Incorporation of Body
Corporate
Where applicant is a Body
Corporate
Phone Number Mobile
11. Include the
international code
Landline
(e.g. +260 for
Zambia)
12.
Email Address
Plot/
House/
Village
Street
13. Physical
Area
Address
Town
Province
Country
PART B
APPLICATION DETAILS
Private Company Limited by Shares
Private Company Limited by Guarantee with the word
“Limited”
14. Type of Company Private Company Limited By Guarantee without the
Select one type of Company by word “Limited”
marking with “X”
Foreign Company
Public Limited Company
Unlimited Private Company
Local Bank
Foreign Bank
Insurance Company
15. Company Category
Select category of Company by Re-Insurance Company
marking with “X” Bureau De Change
Financial Institution
Other (Specify)
16. Justification for omitting
word “Limited”
PART C – PROPOSED NAMES
Indicate the proposed name(s) and related particulars
(a
)
17. Proposed Name(s) (b
Indicate names in the Order
of Preference )
(c
)
Business activity to
18. be classified in
Principal Business Activity
accordance with
the ISIC
Classification. A full
list of the trade
19. classification codes
Other Business Activities
is available on our
website:
www.pacra.org.zm
20.
Name of Promoter(s)

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:

You might also like