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Form 59

(Regulation 60)
(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 326 and 348)
Available at www.pacra.org.zm

REQUEST FOR INFORMATION

PART A
SEARCH DETAILS
FOR INFORMATION
1. Nature of Request FOR SEARCH
CERTIFICATE OF STATUS
COMPUTER PRINTOUT
2. Particulars of Request
Attach list of companies where
applicable

PART B
APPLICANT DETAILS
3.
First Name
4.
Surname
5.
Gender
6.
Date of Birth
7.
Nationality
Identity Type
8. For Zambians: NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
9.
Identity Number
Phone Numbers Mobile
10. Include the
international code Landline
(e.g. +260 for Zambia)
11.
Email Address
Plot/House/
Village
Street
12. Area
Physical Address
Town
Province
Country
13.
Signature: Date:

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