The Laws of Zambia
SECOND SCHEDULE
(Regulation 3 (4))
FEE PROCESSING FORM
1.
Applicant's name ............................................................................................................................................................
2.
Mailing address ..............................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
3.
Town ..............................................................................................................................................................................
4.
State/Country
(If foreign Address) ........................................................................................................................................................
5.
Broadcasting Station ......................................................................................................................................................
6.
Call Sign ..........................................................................................................................................................................
7.
Type of Fee(s) ................................................................................................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
8.
Total amount due: fee units.................
9.
Total amount remitted
with this Application: fee units ........................................................................................................................................
10.
Mode of Payment:
11.
Form of Payment:
By post ......................................................................................................................................
Hand Deliver ..............................................................................................................................
Cash ..........................................................................................................................................
Cheque ......................................................................................................................................
Telegraphic Money Order ..........................................................................................................
Bank Draft ..................................................................................................................................
12.
*If sent by Cheque indicate Cheque No ..........................................................................................................................
13.
Applicant's Signature .................................................................................................................... Date ......................
Copyright Ministry of Legal Affairs, Government of the Republic of Zambia