Form VI

(Regulations 8(3), 10(2)(b),

11(2)(b), 18(b), 20(b)),
21(2)(b)(i), 23(b), 28(b),
30(b), 32(b), 34(b),
38(2)(b)(i))
REPUBLIC OF ZAMBIA

The Immigration and Deportation Act, 2010

(Act No. 18 of 2010)

The Immigration and Deportation (General) Regulations, 2011

NOTICE OF REJECTION OF APPLICATION

To (1) Lubumbashi DRC

IN THE MATTER OF (2) C-14909707-3-22 (D-1136/21) you are hereby notified
that your application for (3) Visa has been rejected on the following grounds:
(1) Here insert the
full names and WRONG NATIONALITY INDICATED ON THE APPLICATION
address of
applicant FORM
(2) Here insert the
reference No.
of the Dated this
application
(3) Here inserts
type of Zungwara K Chiwaya
application ………………………………..…………………
For:/Director-General of Immigration

____________________________________________________________________
ENDORSEMENT OF REGISTRATION
This rejection has this been entered in the Register.