24. Relationship to existing operations of investors in Zambia The Zambia Export Processing Zones Authority requires that activities qualifying for EPZ status should export at least 80% of their production. ( a) Do the investors have an existing operation in Zambia producing similar goods or services to thdse now proposed for the EPZ. Yes __ No __ IfYES, give a brief description of existing operations: Location (s): ...................................................................................................................... . ........................................................................................................... , ................................. . (b) Description of Goods/Services: . .............. ..................................... : ....................... , .... , .... . ······ .. ··· ............................................................................................................... , __ _ (c) Number of emp1oyces at 1ocation (s): .......................................................................... .. ················----- ······································································································ ( d) Current output ZMK (US$) ...... ·-······················································································ (e) Current exports as% of current output: ............................................................................ . --- ··························································································'------ (J) Will output,jobs and exports in the proposed Export Processing Zone be additional to existing activities? No __ Yes __ If Yes please elaborate: .................. ---................................................................... . ································································---····································----- ---·······································----- ·----························--- .......................................................................................................................................... ........................................................................................................................................... (g) Other services required (please specify): .....................................................•.....•.............. ····················---········································································································ ............................................................................................................................................. ............................................................................................................................................. (i) Anyotherinfonnation: .............................................................................•........................ .................................................................................. ,, ........................................................ . PARr 4 Dtt/arolion I/We.. ••.•••.••••••••••.•••.•.••..•••••••..••..•.......•.•...••.••.•••.••.••••••••••.•••..•••••• heleby declare that the particula,s given in this application are to the best of my/our knowledge and belief, true and con-ect and lhat any estimates given in this application have been given in good failh and wilh all due can,. ,, ,... I ....,,. 11th April, 2003 Statutory Instruments 119 lam/We are awan, that any Export Processing Licence can be suspended or novoked in'.. BC001dance.mhsection28oftbeBxportProcessingZonesActNo. 7of2001 iflll)'informalion given in Ibis application is found, among other things, to be false or misleading or if the licence is found to have been obtained on the basis of fraud ornegligent misnoJ)l'080ntation. Signatwe of the declarant Full name (in block lellelll)· ......................................................................................................................................... . Capacity in which signed: ............... . .............................................. _____ .............................................. . Date: .... , ____ ........................................... ·----·············································· .. . ......................................................................... -----········· .. ····· ... ································· Company Seal Note: I. 'The following documents should be submitted with the Application for a licence: (a} (b) a certified copy of the articles of association. a certified COPY of the certificate of inco,poration. (c} a certified copy of the certificate of shano capital. (d} (e} a certified copy of the certificate of minimum share capital. a copy of the latesiannual,:eportand auditedfinlnciid ••• HMOIII I'm compa nies that have heel! in operation for man, than ... :,ear. (/) ,,, (r.} a copy of the projectedfinmleialstatrmenll in tbecaNola-......-,. adolailedbuaineu plin. armlifilld pl■lbow uf tbe l'allpaltor Nadar-' C 11 1 ◄h 114flJl111-anddlMlafliillllafany ...---•Dlllll:laror ,.Sm-, lntl!-91 •-, .... IF, h •llfth.CWlf&l). I Canhlnowi111 the Note 2: Thedocuments listedin note I sbouldbecertified by a O+moleee lierOldltJ. ,, ' "i ,. ,. 120 Statutory Instruments llthApril, 2003 ZAMBIA EXPOIU l'ROCESSIN0 ZoNES AurnoRm' Developer's Permit PemtltNo. FonnEPZ3 Name of Developer: ....•............••.....................•........................•........•.......•.•.......•........•.......•..•............ Address: ·······································---·························································································· Registered Office address: Major Shareholders: Name ----··············N•tionality: ...................•....... % Share holding: ....•.•.......•.......•.•....... Brief Project Description: ·····················---·········································································· Nature and Value of Total Inveslinent: ............................................................................................... .. Nature and Value of Foreign Investment: ........................................................................... , ................ . Special conditions· ..•........•.•...•........••......•........•.......•......•.........•...............•...•....•••.......•.•.....•••.•.....•..•... This pennit is issued this ....•.•.... day of ..•.....•......••........•....... 20 ....... , and shall remain valid for a period- of 10 years from the date of issue in accordance with Section 21 of the Export Processing Zone Act No. 7 of2001 unless earlier suspended or revoked by the Authority. Date of expiry: .....•..............••.........................•.............. Managing Director ( 't llthApril, 2003 Statutory Instruments EXPORT PROCESSINoZoNFSAurnoRITY Export Processing Licence 121 Licence No. FormEPZ4 NaJ11eoflnvestor- ......................................................................................... , ..................................... .. Address· ............................................................................................................................................... . Registered Office: ............................................................................................................................... . Major Shareholder: .............................................................................................................................. . Name: ............................ Nationality ..................... percentage Share holding: .............................. . Briefinvesttnent Description: ...................................................................... , ..................................... . Nature and value of total investment: ........................................................... , .................................... .. Nature and value of foreign investment: ............................................................................................. . Special conditions: ............................................................................................................ , ................. .. This licence is issued this .......... day of ............................... , 20 .... , and shall remain valid for a period of 10 years from the date of issue in accordance with Section 21 of the Export Processing Z.OneAct No. 7 of2001 unless earlier suspended or revoked by the Authority. Date of expiry: ..................................... . ................ ____ _ Managing Director LuSAKA 3rd April, 2003 D. K.A. PATEL, Ministerof Commerce, Trade and Industry 122 Statutory lnstnunenls 11th April, 2003