Form ‘Regulation 31) and 3) (Tobe completed in dupiate) Cacray (Act No. 16 of 2011) ‘The Registration of Business Names Regulations, 2011 Please complete “Approved Name of Business (a) Present Name(s) block letters Cerificate No. Reference No, ZENO INNOVATIONS Maninga; (H) Sumame(s) oF Appicaniisy Eanes (©) Former Name(s) (@ Age oF applicants) 2 {@) Nationality oF applicants) (oy Identity card + National Registration 2 365108171; Card No(s) = Passport No(s) (2) Notiticaion mies PLOT 163, WILLLIAM, KABWE, CENTRAL PROVINCE, Zambia ‘Telepbonasell Nos) 4260973418749 3 Fax No Email address(es) zenoinnovate@gmailcom {@) Company name and (H Residential address(es) SIMABWCHI ESTATE, MAPLOT, WILLIAM, Zambia, : Ne. (by Business address (@) Notification/Postal address (@ Email alaress ‘Type of business or undertaking to 5. | be conducted 3900. Remediation activities and other waste management services Location of proposed business Prone: Ts premises ower oscupier or ened premises? 6 (state_name ofthe onner, rented) PLOT 16, MAPLOT, | Webster simabwachi WILLLIAM, KABWE, st inwachCENTRAL PROVINCE, Zambia roposed date of commencement of business (ddimm/yy) 141032022 Financial year end (ddimmisy) 1210372022 Have you previously held certificate of registration which was suspended or cancelled by the NO: Registrar tyes, specify deals Reason for cancellation: ‘Do youave a valid regis respect of any oer business name? yes, spel deals: Other existing business name: Date of registration: Basiness names prevowh Feld by the | Certificate No. applicant under the Resistrati ‘usiness Nemes Actor similar legislation ouside Zambia T tocation Do youhave any interest by way of parnershipldiecioshinishareholing in any Baines or xcupaton oiher Wan the ove ih pet of which the application eats? yes, specify deals Other existing business name: Dae of registration: ‘STATUTORY DECLARATION We Maninga Kanyama: do solemnly declare as follows: (a) thatthe information provided in this Form is corréct and true; and (b) that my certificate of registration has never been suspended or cancelled; and I Awe make this solemn declaration conscientiously believing the same to be true fo the best of my/our knowledge and baiet, ba svn jee “Applicant's signature(s) Date