Zambia Company Incorporation Application (PACRA Form 3)

The type of company being incorporated, selected by marking one of four printed options with an "X". Determines which later sections of this form apply (e.g. shareholders/beneficial ownership for share-capital companies, guarantors for a guarantee company).

The specially-regulated category of company, if any, selected by marking one of the printed options with an "X". Left unselected (absent) by companies that do not fall into any of these regulated categories.

Free-text description of the company's regulated category, printed immediately after the "Other (Specify)" checkbox option.

The company's proposed name, which must be captured exactly as approved by the Companies Registry (via a separate name-reservation process) and not yet expired.

The company's main business activity, to be classified in accordance with the International Standard Industrial Classification (ISIC); PACRA publishes a full list of trade classification codes on its own website.

Any further business activities the company will carry on, beyond the principal activity.

Whether the company's articles of association restrict the nature of business it may carry on, marked by an "X" against a printed "NO"/"YES" pair.

Whether the company adopts the standard articles of association prescribed under the Companies Act, or its own non-standard articles, marked by an "X".

The company's registered office address (Plot/House/Village), as required by the Companies Act.

The company's registered office address (Street), as required by the Companies Act.

The company's registered office address (Area), as required by the Companies Act.

The company's registered office address (Town), as required by the Companies Act.

The company's registered office address (Province), as required by the Companies Act.

The company's notification (postal) address (Post Box), used by PACRA for official correspondence.

The company's notification (postal) address (Area), used by PACRA for official correspondence.

The company's notification (postal) address (Town), used by PACRA for official correspondence.

The company's notification (postal) address (Province), used by PACRA for official correspondence.

The company's mobile phone number, including the international code (e.g. +260 for Zambia).

The company's landline phone number, including the international code, if it has one.

The company's email address for official correspondence.

The company's nominal share capital (for a share-capital company) or guaranteed amount (for a company limited by guarantee), in Zambian Kwacha (ZMW). Must not be less than the prescribed statutory minimum.

Number of ordinary shares, printed under the "Class of Shares" table. Not applicable to companies limited by guarantee.

Par (nominal) value per ordinary share, in Zambian Kwacha (ZMW). Not applicable to companies limited by guarantee.

Number of preferential shares, printed under the "Class of Shares" table. Not applicable to companies limited by guarantee.

Par (nominal) value per preferential share, in Zambian Kwacha (ZMW). Not applicable to companies limited by guarantee.

Free-text description of a further class of shares beyond Ordinary/Preferential, printed as an "OTHER" column with its own "if other indicate the specific class of shares" instruction.

Number of shares of the other class named in otherClassOfSharesSpecify, if any (applicable only when otherClassOfSharesSpecify is filled in; no requiredWhen gate is modelled since the trigger field is itself optional free text).

Par (nominal) value per share of the other class named in otherClassOfSharesSpecify, in Zambian Kwacha (ZMW), if any (applicable only when otherClassOfSharesSpecify is filled in; no requiredWhen gate is modelled since the trigger field is itself optional free text).

The day and month on which the company's financial year ends (e.g. "31 December"). The first financial year end must not be more than 12 months from the date of incorporation.

For foreign investors only: the amount and period pledged for investment. Free text, since the form asks for an amount together with a period in a single answer.

Total number of directors being appointed. The Companies Act requires a minimum of two directors for a private company and three for a public company, with at least half of all directors resident in Zambia; the source form itself carries no field for this count, but instructs applicants to "Replicate Part B to add more first directors" (i.e. photocopy the block again) for each director beyond the first. This schema models director1/director2 as bounded slots; a public company's statutory third director (or any company naming more than two directors) requires a further physical Part B replication beyond this schema's v1.0.0 scope — see VERIFICATION.md.

First name of the director 1.

Surname of the director 1.

Gender of the director 1, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the director 1.

Nationality of the director 1.

The kind of identity document held by the director 1. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to director1IdentityType.

Mobile phone number of the director 1, including the international code (e.g. +260 for Zambia).

Landline phone number of the director 1, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the director 1.

Physical Address of the director 1 (Plot/House/Village).

Physical Address of the director 1 (Street).

Physical Address of the director 1 (Area).

Physical Address of the director 1 (Town).

Physical Address of the director 1 (Province).

Physical Address of the director 1 (Country).

Declaration for consent to act as director: "We, whose name(s) and particulars appear above, consent to act as director(s) for the above mentioned company" Modelled as a signature-name attestation.

Date the consent declaration above was signed.

First name of the director 2. Required when numberOfDirectors is 2 or more.

Surname of the director 2. Required when numberOfDirectors is 2 or more.

Gender of the director 2, as a free-text entry — the source form prints a blank fill-in line with no enumerated options. Required when numberOfDirectors is 2 or more.

Date of birth of the director 2. Required when numberOfDirectors is 2 or more.

Nationality of the director 2. Required when numberOfDirectors is 2 or more.

The kind of identity document held by the director 2. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit. Required when numberOfDirectors is 2 or more.

The identity document number corresponding to director2IdentityType. Required when numberOfDirectors is 2 or more.

Mobile phone number of the director 2, including the international code (e.g. +260 for Zambia). Required when numberOfDirectors is 2 or more.

Landline phone number of the director 2, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the director 2. Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Plot/House/Village). Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Street). Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Area). Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Town). Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Province). Required when numberOfDirectors is 2 or more.

Physical Address of the director 2 (Country). Required when numberOfDirectors is 2 or more.

Declaration for consent to act as director: "We, whose name(s) and particulars appear above, consent to act as director(s) for the above mentioned company" Modelled as a signature-name attestation. Required when numberOfDirectors is 2 or more.

Date the consent declaration above was signed. Required when numberOfDirectors is 2 or more.

Total number of shareholders. Applicable to a Public Company, Private Company Limited by Shares, and Unlimited Private Company (not applicable to a company limited by guarantee, which has guarantors instead — see Part E). The source form carries no count field itself; it instructs applicants to "Replicate Part C to add more Shareholders" for each shareholder beyond the first.

Whether the shareholder 1 is a body corporate (company, co-operative, trust, society, etc.) rather than a natural person. The source form prints separate natural-person and body-corporate identification blocks side by side with no explicit either/or checkbox; this discriminator is supplied by this schema (not printed on the form) to determine which of the two identification blocks below applies.

First name of the shareholder 1.

Surname of the shareholder 1.

Gender of the shareholder 1, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the shareholder 1.

Nationality of the shareholder 1.

The kind of identity document held by the shareholder 1. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to shareholder1IdentityType.

Name of the body corporate, where the shareholder 1 is itself a body corporate rather than a natural person.

Nature of the body corporate — e.g. Company, Co-operative, Trust, Society, etc. Applicable where shareholder1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

The body corporate's registration number, registration date, and country of incorporation, printed together as a single answer. Applicable where shareholder1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

Mobile phone number of the shareholder 1, including the international code (e.g. +260 for Zambia).

Landline phone number of the shareholder 1, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the shareholder 1.

Physical Address of the shareholder 1 (Plot/House/Village).

Physical Address of the shareholder 1 (Street).

Physical Address of the shareholder 1 (Area).

Physical Address of the shareholder 1 (Town).

Physical Address of the shareholder 1 (Province).

Physical Address of the shareholder 1 (Country).

Number of shares held by this shareholder.

Class of shares held by this shareholder (e.g. Ordinary, Preferential, or another class named in the company's own Part A class-of-shares table).

Legal owner(s) to sign if not the Beneficial Owner Modelled as a signature-name attestation.

Date the consent declaration above was signed.

Total number of beneficial owners being disclosed. Applicable to a Public Company, Private Company Limited by Shares, and Unlimited Private Company. The source form's own footer reads "Replicate Part D if the Beneficial Owners are more than two" — an explicit two-slot base capacity, unlike Parts B/C/E/F which give no numeric anchor.

Whether the beneficial owner 1 is a body corporate (company, co-operative, trust, society, etc.) rather than a natural person. The source form prints separate natural-person and body-corporate identification blocks side by side with no explicit either/or checkbox; this discriminator is supplied by this schema (not printed on the form) to determine which of the two identification blocks below applies.

First name of the beneficial owner 1.

Surname of the beneficial owner 1.

Gender of the beneficial owner 1, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the beneficial owner 1.

Nationality of the beneficial owner 1.

The kind of identity document held by the beneficial owner 1. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to beneficialOwner1IdentityType.

Occupation of the beneficial owner 1.

Name of the body corporate, where the beneficial owner 1 is itself a body corporate rather than a natural person.

Nature of the body corporate — e.g. Company, Co-operative, Trust, Society, etc. Applicable where beneficialOwner1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

The body corporate's registration number, registration date, and country of incorporation, printed together as a single answer. Applicable where beneficialOwner1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

Mobile phone number of the beneficial owner 1, including the international code (e.g. +260 for Zambia).

Landline phone number of the beneficial owner 1, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the beneficial owner 1.

Physical/Registered Office Address of the beneficial owner 1 (Plot/House/Village).

Physical/Registered Office Address of the beneficial owner 1 (Street).

Physical/Registered Office Address of the beneficial owner 1 (Area).

Physical/Registered Office Address of the beneficial owner 1 (Town).

Physical/Registered Office Address of the beneficial owner 1 (Province).

Physical/Registered Office Address of the beneficial owner 1 (Country).

Number of shares held by/attributable to this beneficial owner, if any (a beneficial owner need not hold shares directly, e.g. where influence is exercised through other means).

Class of shares held by/attributable to this beneficial owner, if any.

A brief explanation of the nature of the beneficial ownership disclosed above (e.g. trust, other legal arrangement) including how ownership, control, or economic interest is maintained.

Date on which the disclosed beneficial interest was acquired.

Whether the beneficial owner is a politically exposed person (PEP) as defined in the Financial Intelligence Centre Act No. 46 of 2010.

Details of the beneficial owner's status as a politically exposed person (e.g. position held), required when isPoliticallyExposedPerson is true.

Total number of guarantors. Applicable only to a Private Company Limited by Guarantee. The source form carries no count field itself; it instructs applicants to "Replicate Part E to add more Guarantors" for each guarantor beyond the first.

Whether the guarantor 1 is a body corporate (company, co-operative, trust, society, etc.) rather than a natural person. The source form prints separate natural-person and body-corporate identification blocks side by side with no explicit either/or checkbox; this discriminator is supplied by this schema (not printed on the form) to determine which of the two identification blocks below applies.

First name of the guarantor 1.

Surname of the guarantor 1.

Gender of the guarantor 1, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the guarantor 1.

Nationality of the guarantor 1.

The kind of identity document held by the guarantor 1. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to guarantor1IdentityType.

Name of the body corporate, where the guarantor 1 is itself a body corporate rather than a natural person.

Nature of the body corporate — e.g. Company, Co-operative, Trust, Society, etc. Applicable where guarantor1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

The body corporate's registration number, registration date, and country of incorporation, printed together as a single answer. Applicable where guarantor1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

Mobile phone number of the guarantor 1, including the international code (e.g. +260 for Zambia).

Landline phone number of the guarantor 1, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the guarantor 1.

Physical Address of the guarantor 1 (Plot/House/Village).

Physical Address of the guarantor 1 (Street).

Physical Address of the guarantor 1 (Area).

Physical Address of the guarantor 1 (Town).

Physical Address of the guarantor 1 (Province).

Physical Address of the guarantor 1 (Country).

The amount, in Zambian Kwacha (ZMW), that this guarantor undertakes to contribute if the company is wound up.

Guarantor's declaration: "We, whose name(s) and particulars appear above, hereby undertake to contribute the guaranteed amount(s) specified" Modelled as a signature-name attestation.

Date the consent declaration above was signed.

Total number of company secretaries being appointed (every Zambian company must appoint at least one). The source form carries no count field itself; it instructs applicants to "Replicate Part F to add more Secretaries" where joint secretaries are appointed.

Whether the company secretary 1 is a body corporate (company, co-operative, trust, society, etc.) rather than a natural person. The source form prints separate natural-person and body-corporate identification blocks side by side with no explicit either/or checkbox; this discriminator is supplied by this schema (not printed on the form) to determine which of the two identification blocks below applies.

First name of the company secretary 1.

Surname of the company secretary 1.

Gender of the company secretary 1, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the company secretary 1.

Nationality of the company secretary 1.

The kind of identity document held by the company secretary 1. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to secretary1IdentityType.

Name of the body corporate, where the company secretary 1 is itself a body corporate rather than a natural person.

Nature of the body corporate — e.g. Company, Co-operative, Trust, Society, etc. Applicable where secretary1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

The body corporate's registration number, registration date, and country of incorporation, printed together as a single answer. Applicable where secretary1IsBodyCorporate is true; modelled bare-optional (no requiredWhen gate) since this is a secondary descriptive detail, not the primary identification field.

Mobile phone number of the company secretary 1, including the international code (e.g. +260 for Zambia).

Landline phone number of the company secretary 1, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the company secretary 1.

Physical Address of the company secretary 1 (Plot/House/Village).

Physical Address of the company secretary 1 (Street).

Physical Address of the company secretary 1 (Area).

Physical Address of the company secretary 1 (Town).

Physical Address of the company secretary 1 (Province).

Physical Address of the company secretary 1 (Country).

Declaration for consent to act as Company Secretary: "I/We, whose name(s) and particulars appear above, consent to act as Company secretary(s) for this Company" Modelled as a signature-name attestation.

Date the consent declaration above was signed.

Full name of the person making the declaration of compliance.

The declarant's own stated capacity: a legal practitioner engaged in the company's formation, the first director named in the application, or the first secretary named in the application. The form prints all three options with an instruction to delete whichever do not apply.

The place where the declaration of compliance was made.

The date the declaration of compliance was made.

Signature of the declarant, modelled as a signature-name attestation.

First name of the person lodging application.

Surname of the person lodging application.

Gender of the person lodging application, as a free-text entry — the source form prints a blank fill-in line with no enumerated options.

Date of birth of the person lodging application.

Nationality of the person lodging application.

The kind of identity document held by the person lodging application. For Zambian nationals, only the National Registration Card (NRC) is accepted; non-Zambians may instead present an NRC (if held), passport, driver's licence, or resident permit.

The identity document number corresponding to lodgerIdentityType.

Mobile phone number of the person lodging application, including the international code (e.g. +260 for Zambia).

Landline phone number of the person lodging application, if any. Always bare-optional regardless of outer block applicability, since it is a secondary contact method.

Email address of the person lodging application.

Physical Address of the person lodging application (Plot/House/Village).

Physical Address of the person lodging application (Street).

Physical Address of the person lodging application (Area).

Physical Address of the person lodging application (Town).

Physical Address of the person lodging application (Province).

Physical Address of the person lodging application (Country).

Signature of the person lodging the application, modelled as a signature-name attestation.

Date the application was lodged/signed.