The Laws of Zambia
FOURTH SCHEDULE
(Regulation 6 (1))
MIBS/BLC 3
Ministry of Information and Broadcasting Services
APPLICATION FOR CONSTRUCTION PERMIT FOR RADIO AND
TV BROADCASTING STATIONS IN ZAMBIA
SECTIONS I - GENERAL INFORMATION
1.
Name/s of applicant/s .................................................................................................................................................
1.2
Mailing address of applicant .......................................................................................................................................
1.3
Telephone No ......................................... Telex ................................... Facsimile ......................................................
1.4
Is fee submitted with this form?
Yes
No
If yes, state amount enclosed K....................................................................................and enclose copy of receipt.
1.5
This application is for (check appropriate boxes)
Amateur
AM
Commercial
Public
TV
Other (Specify)..................................................................................................................................................................
SECTIONS II - LEGAL QUALIFICATIONS
2.1
Application is (check one box)
Natural person
Legal person (corporation)
Other
2.2
Nationality of applicant if applicant is a natural person ....................................................................................................
2.3
If applicant is a corporation, identify the date and place where applicant is registered.
Date .............................. Place ....................................................................................................................................
Attach to this application as Exhibit No. 1 a verified copy of the applicant's registration certification.
2.4
Name, address and citizenship (nationality) of director and each officer of the corporation.
2.5
..........................................................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
Name, address and nationality of each person who owns stock/share in the corporation. Specify the number
Copyright Ministry of Legal Affairs, Government of the Republic of Zambia