Form 38

(Regulation 39)
(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

(Sections 299)
Available at www.pacra.org.zm

APPLICATION FOR REGISTRATION AS A FOREIGN COMPANY

PART A
COMPANY DETAILS IN ZAMBIA
Private Company Limited By Shares Ensure that the
members of the
1. Type of Company Private Company Limited By Guarantee company understand
Select one type of Company by Public Limited Company the kind of company
marking with “X” being incorporated and
Unlimited Private Company the liability it carries
2. Company Name
Ensure that the name is captured
exactly as approved by Company
Registry and has not expired

3. Whether Articles Restrict

Nature of Business NO YES
Mark with “X” As Appropriate

4. Business activity to be
Principal Business Activity classified in accordance
with the ISIC
Classification. A full list
of the trade
5. classification codes is
Other Business Activities
available on our
website:
www.pacra.org.zm
CERTIFIED COPY OF ARTICLES OF ASSOCIATION
CERTIFIED COPY OF MEMORANDUM OF
ASSOCIATION
CERTIFIED COPY OF THE CHARTER, STATUTES,
REGULATIONS Mark with an “x” and
6.
Accompanying Documents COPY OF THE CERTIFICATE OF INCORPORATION Attach whichever
FROM THE COUNTRY OF ORIGIN document is applicable
INSTRUMENT CREATING OR EVIDENCING A
CHARGE IN ZAMBIA (If Any)
ANY OTHER INSTRUMENT CONSTITUTING THE
ENTITY
7.
Type Of Articles STANDARD NON-STANDARD
Mark With “X” As Appropriate

Plot/House/
Village
8. Physical Address Street
State the registered Area
office of the Company
Town
Province
Postal Address Post Box
9. State the notification Area
address of the Town
Company Province
10. Phone Number Mobile
Include the
international code Landline
(e.g. +260 for Zambia)
11.
Email Address
Particulars of all charges on
12. any property in Zambia
Specify details of the charge. If no
charge was acquired, a statement
must be written to that effect.
Date when charge was
created
13. Property in Zambia acquired
by the company must not have been
acquired less than fourteen days
before the lodgement of the
application

14. Total amount secured by the

charge
Where applicable

15. Date of Acquisition of

Mortgage or Charge
Where applicable
Type of Property Mortgaged LAND
16. or Charged BUILDINGS
Where applicable
Select type of property by marking OTHER
with “X”) OTHER (Specify)
Description of Instrument
17.
creating or evidencing the Where applicable
Mortgage
18.
Title Deed Number Where applicable

19. Short particulars of all the

Where applicable
property mortgaged
Nominal Capital or
20. Guaranteed Amount
Nominal Capital or Guaranteed
amount must not be less than the
prescribed minimum
21. Class of Shares ORDINARY PREFERENTIAL OTHER
If other indicate the specific class of
shares.
Not applicable to
22. companies limited by
Number of Shares
guarantee
23.
Par Value
24.
Number of paid up shares
25.
Number of unpaid shares
26. Amount paid/payable in
cash
27. Amount paid/payable other
than in cash
Financial Year End
28. The financial year end must not be
more than 15 months from the date of
incorporation
Pledged Investment Amount
In case of Foreign Investors, state the
29.
amount and period for pledged
investment

PART B
PARTICULARS OF DOCUMENTARY AGENT
30. First Name
Surname
Gender
Date of Birth
 Nationality
Identity Type
For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number
Name of Body Corporate
Where applicant is a Body Corporate
Nature of Body Corporate
Where applicant is a Body
Corporate, indicate whether
applicant is a Company, Co-
operative, Trust, Society, Etc.
Registration Number, Date
and Country of
Incorporation of Body
Corporate
Where applicant is a Body Corporate
Mobile
Phone Number
Landline
Email Address
Plot/House/
Village
Street
Physical Area
Address Town
Province
Country
ACCEPTANCE OF APPOINTMENT AS DOCUMENTARY AGENT

I/We, whose names and particulars appear above, accept to be appointed as Documentary Agent for this
31. Company:
Signature:

Date:
PART C
PARTICULARS OF LOCAL DIRECTORS
Note: Minimum of one local director
PARTICULARS OF DIRECTOR
First Name
Surname
Gender
Date of Birth
Nationality
Identity Type
For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number
32. Phone Number Mobile
Include the
international code Landline
(e.g. +260 for Zambia)
Email Address
Plot/
House/
Village
Street
Physical Address Area
Town
Province
Country
33. DECLARATION FOR CONSENT TO ACT AS DIRECTOR:

I, whose names and particulars appear above, consent to act as director for the above mentioned
company:
 Signature: Date:

Continue with Part C to add more directors

PART D
DETAILS OF COMPANY IN THE COUNTRY OF ORIGIN
34.
Company Name
Private Company Limited By Shares
Private Company Limited By Guarantee
35. Type of Company The type of company
Select one type of Company by Public Limited Company should be as obtaining
marking with “X” Unlimited Private Company in the country of origin

Other (Specify)
36.
Country of Incorporation
37.
Date of Incorporation
38. Business activity to be
Principal Business Activity classified in accordance
with the ISIC
Classification. A full list
of the trade
39. classification codes is
Other Business Activities
available on our
website:
www.pacra.org.zm

40. Whether Articles Restrict

Nature of Business NO YES
Mark with “X” As Appropriate

Plot/
House/
41. Physical Address Village
State the registered Street
office of the Company Area
Town
Province
Postal Address Post Box
42. State the notification Area
address of the Town
Company Province
43. Phone Number Mobile
Include the
international code Landline
(e.g. +260 for Zambia)
44.
Email Address
Nominal Capital or
45. Guaranteed Amount
Nominal Capital or Guaranteed
amount must not be less than the
prescribed minimum
46. Class of Shares ORDINARY PREFERENTIAL OTHER
If other indicate the specific class of
shares.
47.
Number of Shares Not applicable to
companies limited by
48. guarantee
Par Value
49. Number of Shares Issued
Other Than For Cash
50.
Financial Year End
PART E
BENEFICIAL OWNERSHIP IN COUNTRY OF ORIGIN
PARTICULARS OF BENEFICIAL OWNERSHIP
51. First Name
Surname
Gender
 Date of Birth
Nationality
Identity Type
For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number
Occupation
Name of Body Corporate
Where applicant is a Body Corporate
Nature of Body Corporate
Where applicant is a Body
Corporate, indicate whether
applicant is a Company, Co-
operative, Trust, Society, Etc.
Registration Number, Date
and Country of
Incorporation of Body
Corporate
Where applicant is a Body Corporate
Mobile
Phone Number
Landline
Email Address
Plot/House/
Village
Physical/ Street
Registered Area
Office Address Town
Province
Country
DIRECTOR/TRUSTEE OF BODY CORPORATE
N First Name: Surname: Identity Number: Date Appointed:
o
1
52.
2
3
4
SHAREHOLDER/SETTLER OF BODY CORPORATE
N First Surname: Identity Number: Number of Class of Number of Paid Up
o Name: Shares: Shares: Shares:
1

53. 2
3
4

BENEFICIAL OWNER/BENEFICIARY OF BODY CORPORATE

N First Name: Surname: Identity Number: Nature of Interest
o
1
54.
2
3
4
55. Number of Shares (if any)
Class of Shares (if any)
Nature of Beneficial
Ownership
Briefly explain the nature of
beneficial ownership (whether trust,
legal arrangement etc.) including
how ownership control or economic
 interest is maintained
Date when beneficial
interest was acquired
If beneficial owner is
politically exposed person
(PEP) as defined in the
Financial Intelligence Act
No. 46 of 2010, provide
details (e.g. position held)
PART F
PARTICULARS OF PERSON LODGING APPLICATION
56.
First Name
57.
Surname
58.
Gender
59.
Date of Birth
60.
Nationality
Identity Type
61. For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
62.
Identity Number
63. Mobile
Phone Number
Landline
64.
Email Address
Plot/House/
Village
Street
Physical
65. Area
Address
Town
Province
Country
66.
Signature: Date:
This form must be accompanied by the documents specified under section 299(4)