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Employer Details
National ID/ Passport No
*
Nationality
*
Zambian
Foreigner
Title
*
Dr
Miss
Mr
Mrs
Ms
Prof
First Name
*
Last Name
*
Employer Name
Mobile
*
Email
*
Login ID
Address and Location
Plot Number
*
Street Name
*
Location
*
Town
*
CHADIZA
CHAMA
CHAMBESHI
CHAVUMA
CHIBOMBO
CHIENGI
CHILANGA
CHILILABOMBWE
CHILUBI
CHILUBI ISLAND
CHINGOLA
CHINSALI
CHIPATA
CHIRUNDU
CHISAMBA
CHISEKESI
CHITAMBO
CHIZELA
CHIZERA
CHOMA
CHONGWE
FEIRA
GWEMBE
IKELENGE
ISOKA
ITEZHI_TEZHI
ITIMPI
KABOMPO
KABWE
KAFUE
KALABO
KALOMO
KALULUSHI
KANONA
KAOMA
KAPIRI MPOSHI
KAPUTA
KASAMA
KASEMPA
KATETE
KAWAMBWA
KAZEMBE
KAZIMULE
KITWE
LILAYI
LIMULUNGA
LIVINGSTONE
LUAMPA
LUANGWA
LUANO
LUANSHYA
LUBWE
LUFWANYAMA
LUKULU
LUNDAZI
LUSAKA
LUWINGU
MAAMBA
MAGOYE
MALOLE
MAMBWE
MANSA
MANYINGA
MAPANZA
MASAITI
MAZABUKA
MBABALA
MBALA
MFUWE
MILENGE
MKUSHI
MKUSHI BOMA
MKUSHI RIVER
MONGU
MONZE
MPIKA
MPONGWE
MPOROKOSO
MPULUNGU
MUFULIRA
MUFUMBWE
MUKONCHI
MUMBWA
MUNGWI
MUNUNGA
MUSHOTA
MWANDI
MWENSE
MWINILUNGA
NAKONDE
NAMALUNDU GORGE
NAMUSHAKENDE
NAMWALA
NANGOMA
NCHELENGE
NDOLA
NEGANEGA
NGABWE
NSUMBU
NYIMBA
PEMBA
PETAUKE
PUTA
RUFUNSA
SAMFYA
SENANGA
SERENJE
SESHEKE
SHANGOMBO
SHIBUYUNJI
SHIWA NGANDU
SIAVONGA
SINAZEZE
SINAZONGWE
SINDA
SOLWEZI
ZAMBEZI
ZIMBA
Nearest NAPSA Branch
*
CHILILABOMBWE
CHINGOLA
CHINSALI
CHIPATA
CHISAMBA
CHOMA
CHONGWE
KABWE
KAFUE
KASAMA
KAWAMBWA
KITWE
LIVINGSTONE
LUANSHYA
LUSAKA A
LUSAKA B
LUSAKA C
LUSAKA D
MANSA
MAZABUKA
MBALA
MKUSHI
MONGU
MONZE
MPIKA
MUFULIRA
NCHANGA HOUSE
NDOLA
PETAUKE
SOLWEZI
ZAMBEZI
Postal Details
Postal Address
Postal Name
Town
Employment Details
Date Started Employing
*
DD-MM-YYYY
Number of Employees
*
Supporting Documents
Please attach the following documents.
National ID/ Passport No
*
NOTE: The size of each document must not exceed
2MB
.
Valid formats are pdf, png, jpg, bmp, doc, docx
Summary and Confirmation