HEAD OFFICE NORTHERN REGION Plot 30741 P.O …

1 FRA/1. registration OF CONTRACTORS - 2017. HEAD OFFICE NORTHERN REGION SOUTHERN REGION CENTRAL REGION . Plot 1612/1623 Luchengo Road, Room 213 Mukuba Pension House, Stand No. 252 Kalima Street, Plot 30741 . Off Sheki Sheki Road, Box 23163, Mochipapa, Choma Off Lubansenshi Road, Light Industrial Area Kitwe Tel: +260-213-221162 Olympia, Lusaka Box 39548 Fax: +260-213-2211 Tel: +260-211-293908 or Tel: +260-212-220590. Lusaka Email: +260-211-293906. Fax: +260-212-228121. Email: Tel: +260-211-247185/240386 Email: Fax: +260-211-243115 / 247264. Email: Website: APPLICATION FORM FOR FIRST registration OF CONTRACTORS. [In terms of the National Council for Construction Act No. 13 of 2003 of the Laws of Zambia]. INSTRUCTIONS TO APPLICANTS THIS FORM SHOULD NOT BE SOLD.

2 A) Please fill in the form completely as provided and bind it with all necessary attachments. Print clearly using ink. Incomplete and unbound applications will not be processed b) All applicable fees must be paid directly to the National Council for Construction (NCC) through its Bank accounts as provided herein. c) All applicable fees paid to the NCC are Non-refundable and Non-transferable. Electronic Bank transfers will only be receipted after two days from the date the transfer is effected and upon confirmation that the transfer has been cleared d) Attach a separate sheet where space on the form is limited for additional information. e) At least one of the shareholders for applicants applying for grades 5, 4,3,2,1 and A must have undergone formal training in a construction field.

3 Training should be minimum accredited certificate. Further, applicants applying for grades 5,4,3,2,1 and A must be a Limited Liability Company f) A least one of the shareholders must have minimum technical qualification in a construction related course. When assessing for minimum qualification of a Technical Director, the Council may whenever necessary consider individual practical experiences in supervising construction projects, or relevant academic qualification in a construction related field. g) Applicants applying for Grades 1,2,3,4,5, and A should have done a minimum of two jobs, each of which the Value should not be less than the minimum limit on Tender Value for the Grade and Category in which an applicant wishes to be registered.

4 H) Copies of all certificates attached must be Certified True Copies of the original and where applicable must be translated into English language. i) All foreign contractors are restricted to register in grades 1 and 2 and A, subject to meeting the registration requirements j) All professionals declared must be registered with relevant professional bodies. k) Applications can be deposited at designated registration Committees in the provinces for scrutiny l) Ensure that your application for EXPRESS registration is approved by NCC before Express registration fees are paid m) Registered names of companies should reflect construction business COMPANY NAME: FOR OFFICIAL USE ONLY. Date application form received: Classification.

5 registration approved for Grade: .. Category: .. Date: .. Mining Category: .. Application not approved due to: Remarks: 1.. 2.. 3.. 4. Approved by: (Name) . 5. Signature: . 1. COMPANY DETAILS. Trading Name (if different): . PACRA registration No.: . Registered OFFICE Address: Physical: . Postal: . Tel No: .. Fax No.: . Mobile Phone : . E-mail: . Branch OFFICE (s) Address(s) in/or outside Zambia (if different): Physical: . Postal: . Tel No: .. Fax No.: . Mobile Phone : . E-mail: . State whether Listed Company / Limited Company / Partnership or Sole Proprietor .. Description of business / construction activities as per PACRA registration : .. Shareholders, directors, managers, partners of firms whose signatures will carry authority in decision making matters.

6 Name Position Passport Status Shareholding Qualification No. (Citizen/Resident/ (%). Non-Resident). State the name, branch, account number, address and contact details of the firms Bankers: Bank Name: . Branch: .. Account No.: . Address: . Contact Person: Tel No: .Fax No: . Bank Name: . Branch: .. Account No.: . Address: . Contact Person: Tel No: .Fax No: . Certificates / Documents which MUST be attached: (Bank reference or Latest Bank statements). 2. TECHNICAL DATA. KEY PERSONNEL-PROFESSIONAL. (Engineers, Architects, Quantity Surveyors, Building Scientists, Surveyors, Accountants etc). (Attach separate sheet where space is not enough): Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name.

7 Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Certificates / Documents Which MUST Be Attached: a) Certified copies of all Degrees/ Certificates b) Certified copies of professional registration c) Curriculum Vitae KEY PERSONNEL-TECHNICIANS. (Construction/Engineering based Diploma qualification). (Attach separate sheet where space is not enough): Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name: .. Position in company or firm.

8 NRC / Passport No: .. Mobile phone: .. Certificates / Documents Which MUST Be Attached: a) Certified copies of all Diploma certificates b) Curriculum Vitae KEY PERSONNEL- SKILLS BASED. (Bricklayers, Carpenters, Plumbers, Electricians, Steel Fixers, Metal Fabricators etc). (Attach separate sheet where space is not enough): Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. : .. Name: .. Position in company or firm: .. NRC / Passport No: .. Mobile phone: .. Certificates/Documents which MUST be attached: a) Certified copies of all Certificates, Trade papers or References from employers 3. COMPANY'S FIXED (IMMOVABLE) ASSETS (Attach a separate sheet where space is not available).

9 Name of Asset Value Document Attached 1. 2. 3. 4. 5. Certificates/Documents which MUST be attached: a) Certified copies of documents proving ownership Title Deeds or Letters of Offer VEHICLES, PLANT, EQUIPMENT & TOOLS OWNED OR LEASED BY THE FIRM. (Attach separate sheet where space is not enough): Type Make Capacity Age Condition Owned/Leased (m/ton/Hp) (Years) (Good/Fair/. Poor). 1. 2. 3. 4. 5. 6. 7. Certificates / Documents Which MUST Be Attached: a) Copies of registration certificates for all rubber tyred vehicles and plant owned by firm b) Proof of ownership of all off-road vehicles, plant and equipment owned by firm c) Lease or hire agreements for vehicles, plant and equipment that are not owned by the firm CONTRACTS COMPLETED BY THE FIRM WITHIN THE PAST FIVE YEARS.

10 (Attach separate sheet where space is not enough): Project Name Client/Employer Consulting Value of Date Completed Engineer/Architect Works 1. 2. 3. 4. 5. Certificates / Documents Which MUST Be Attached: a) Copies of Completion / Final Payment Certificates of each completed project or b) Reference from the Consulting Architects /Engineers regarding each completed project or c) Reference from the Clients / Employers with respect to each completed project 4. CONTRACTS ON HAND (Attach separate sheet where space is not enough): Consulting Expected Date Project Name Client/Employer Architect/ Contract Value Completion Engineer 1. 2. 3. 4. Certificates / Documents Which MUST Be Attached: a) Copies of the latest Interim Payment Certificates for each project or b) Reference from the Consulting Architects / Engineers regarding progress on each project or c) Reference from the Clients / Employers regarding each project TECHNICAL REFEREES: Name and physical address of traceable technical referees, Consulting Engineers / Architects / Quantity Surveyors, from whom references may be sought.