Citizenship of Zambia Regulations, 2017

Supplement to the Republic of Zambia Government Gazette dated Friday, 30th June, 2017 353 GOVERNMENT OF ZAMBIA STATUTORY INSTRUMENT NO. 50 OF 2017 The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 ARRANGEMENT OF REGULATIONS Interpretation Regulation 1. Title 2. 3. Notice of intention to apply for citizenship by registration 4. Application for citizenship by registration 5. Request for additional information 6. Grant or rejection of application for citizenship by registration 7. Certificate of citizenship by registration 8. Notice of citizenship by adoption 9. Notice of acquisition of citizenship of another country 10. Bestowal of citizenship 11. Oath of allegiance 12. Renunciation of citizenship or citizenship of other country 13. Deprivation of citizenship 14. Publication of names of persons who cease to be citizens 15. Form of registers 16. Certification of documents 17. Detention of certain documents 18. Letter of confirmation 19. Prescribed fees 20. Revocation of SI No. 56 of 1977 Copies of this Statutory Instrument can be obtained from the Government Printer, P.O. Box 30136, 10101, Lusaka, Price K64.00 each 354 Statutory Instruments 30h June, 2017 IN EXERCISE of the powers contained in section 45 of the Citizenship of ZambiaAct, 2016, the following Regulations are made: Title 1. These Regulations may be cited as the Citizenship of Zambia Regulations, 2017. Interpretation 2. In these Regulations, unless the context otherwise requires— “citizenship office” means the office of the Chief Passports and Citizenship Officer; Act No. 18 of 2010 “immigration officer” has the meaning assigned to the term in the Immigration and Deportation Act, 2010; “law enforcement officer” means— (a) a police officer of or above the rank of inspector; (b) a passports and citizenship officer; or (c) an immigration officer; “residence permit” has the meaning assigned to the term in the Immigration and Deportation Act, 2010; “senior government officer” means a public officer at management level; and “spouse permit” has the meaning assigned to the term in the Immigration and Deportation Act, 2010. 3. A person who intends to apply for citizenship by registration under Article 37 of the Constitution shall publish in the Gazette and in two consecutive issues of a daily newspaper circulating in the person’s area of residence, a notice of the person’s intention in Form I set out in the First Schedule. 4. A person who has complied with regulation 3 shall apply to the Board for citizenship by registration in Form II set out in the First Schedule upon payment of the application fee specified in the Second Schedule. 5. The Board may, in relation to an application for citizenship by registration, request an applicant to submit additional information in Form III set out in the First Schedule. 6. (1) The Board shall, within six months of the receipt of an application for citizenship by registration, grant or reject the application. (2) The Board shall reject an application for citizenship by registration that does not meet the requirements of the Constitution and the Act. Act No. 18 of 2010 Act No. 18 of 2010 Notice of intention to apply for citizenship by registration Cap. 1 Application for citizenship by registration Request for additional information Grant or rejection of application for citizenship by registration Cap. 1 30th June, 2017 Statutory Instruments 355 (3) Where the Board rejects an application for citizenship, the Board shall inform the applicant, in writing, of the rejection and the reasons therefor, within seven days of the rejection. (4) The Board shall, where an application for citizenship by registration is granted, register the applicant in accordance with section 23 of the Act. 7. The Board shall, upon registration of an applicant in accordance with regulation 6(4), issue the applicant with a certificate of citizenship by registration in Form IV set out in the First Schedule. Certificate of citizenship by registration 8. (1) A citizen who is the adoptive parent or legal guardian of a child who, before being adopted, was not a citizen, shall within thirty days of the adoption notify the Board of that child’s becoming a citizen by adoption in Form V set out in the First schedule. Notice of citizenship by adoption Notice of acquisition of citizenship of another country Bestowal of citizenship (2) The Board shall register an adopted child notified in terms of subregulation (1) as a citizen within twenty-one working days of receipt of the notification. 9. (1) A citizen who acquires the citizenship of another country shall notify the Board of the acquisition of that citizenship in Form VI set out in the First Schedule. (2) The Board shall cause to be entered in the register of citizens who hold dual citizenship, the names of a citizen who acquires the citizenship of another country. 10. (1) A person who ceased to be a citizen as a result of acquiring the citizenship of another country may apply to the Board for bestowal of the citizenship in Form VII set out in the First Schedule. (2) An applicant for bestowal of citizenship under this regulation may, where the applicant is abroad, lodge the application for bestowal of citizenship with the Zambian mission in the country of that applicant’s residence or where there is no Zambian mission in that country, in the nearest country where there is a Zambian mission. (3) The Board shall cause to be entered in the register of citizens who hold dual citizenship or another appropriate register, the names of a person on whom citizenship is bestowed under this regulation. (4) The Board shall issue an applicant under this regulation with a certificate of bestowal of citizenship in Form VIII set out in the First Schedule. 356 Oath of allegiance Renunciation of citizenship or citizenship of other country Statutory Instruments 30h June, 2017 11. A person who is granted citizenship by registration shall take an oath of allegiance in Form IX set out in the First Schedule and lodge the oath with the citizenship office. 12. (1) A citizen may renounce that citizen’s citizenship by making a declaration in Form X set out in the First Schedule and lodge the declaration with the citizenship office. (2) The Board shall issue a citizen who has renounced citizenship with a certificate of renunciation in Form XI set out in the First Schedule. (3) A person shall, upon being issued with a certificate of renunciation in accordance with subregulation (2), surrender to the citizenship office that person’s national registration card or other national identity document for cancellation. (4) A citizen who has renounced that citizen’s citizenship of another country shall notify the Board of the renunciation in writing and attach a certified copy of the certificate of renunciation or equivalent document issued by that country in respect of the renunciation. (5) A citizen referred to in subregulation (4) shall give the notice required under that subregulation— (a) where the citizen is in Zambia, within fourteen days of the renunciation; or (b) where the citizen is abroad, within six months of the renunciation. (6) The Board shall cause to be removed from, and entered in, the appropriate register the names of a citizen who renounces that citizen’s citizenship or citizenship of another country under this regulation. Deprivation of citizenship 13. (1) The Board shall, where the Board intends to deprive a citizen of citizenship, give notice of the intention to that citizen in Form XII set out in the First Schedule. (2) The notice referred to in subregulation (1) shall, where the location of the citizen to be notified is— (a) known, be delivered to that citizen personally or sent to that citizen by registered post; or (b) not known, sent to that citizen’s last known address. (3) A citizen notified of the Board’s intention to deprive that citizen of citizenship may apply to the Board, in writing for an inquiry provided for in section 28 of the Act— 30th June, 2017 Statutory Instruments 357 (a) if the citizen is in Zambia at the time of being notified, within seven days from the date of receipt of the notice; or (b) if the citizen is outside Zambia, within fourteen days from the date of receipt of the notice. (4) Despite subregulation (3), the Board may in special circumstances extend the time within which an application for an inquiry provided for in section 28 of the Act may be made. (5) The Board shall, where the Board deprives a citizen of citizenship, give notice of deprivation to the citizen in Form XIII set out in the First Schedule. (6) The Board shall cause the name of a citizen deprived of citizenship to be removed from the applicable register of citizens and entered in the register of persons who have renounced or been deprived of citizenship. (7) A person deprived of citizenship or any other person in possession of the national registration card or other national identity document belonging to a person deprived of citizenship shall, as soon as is practicable, deliver the card to the citizenship office for cancellation. 14. The Board shall, as soon as is practicable after a person has ceased to be a citizen, publish a notice of the cessation of that person’s citizenship in the Gazette. 15. The register of— (a) citizens by registration shall be in Form XIV set out in the First Schedule; (b) children presumed to be citizens by birth shall be in Form XV set out in the First Schedule; (c) citizens by adoption shall be in Form XVI set out in the First schedule; (d) persons who have renounced or been deprived of citizenship shall be in Form XVII set out in the First Schedule; and (e) citizens who hold dual citizenship shall be in Form XVIII set out in the First Schedule. Publication of names of persons who cease to be citizens Form of registers 16. A passports and citizenship officer may, for purposes of section 44(2) of the Act, certify a document to be a true copy of the original by a written statement to that effect signed by that passports and citizenship officer. Certification of documents 358 Statutory Instruments 30h June, 2017 Detention of certain documents 17. A law enforcement officer may detain a national registration card or other national identity document for a period of not more than twenty-eight days for the purposes of conducting an investigation where the law enforcement officer has reasonable grounds to believe that the national registration card or other national identity document— (a) was obtained wrongfully or fraudulently; or (b) is wrongfully or fraudulently in the possession of a person. Letter of confirmation Act No. 18 of 2010 18. A holder of a permit issued under the Immigration and Deportation Act, 2010, may apply to the Board, in writing, for a letter confirming that the person has not applied for citizenship. Prescribed fees Revocation of SI No. 56 of 1977 19. The fees set out in the Second Schedule are prescribed in respect of the matters specified in that Schedule. 20. The Citizenship of Zambia Regulations, 1977, are revoked. 30th June, 2017 Statutory Instruments 359 FIRST SCHEDULE (Regulations 3, 4, 5, 7, 8, 9, 10, 11, 12, 13 and 15) PRESCRIBED FORMS Form I (Regulation 3) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 Notice of Intention to Apply for Citizenship by Registration Notice is hereby given that ...................................................................................................... of.................................................................................................................................................. (names and present address of applicant) intends to apply to the Board for citizenship by registration and that any person who knows any reason that citizenship by registration should not be granted should send a written and signed statement of such reason to the Chief Passports and Citizenship Officer, P.O. Box 30104, Lusaka, within twenty-one days from the date of this notice. ……………………………………….. Minister 360 Statutory Instruments 30h June, 2017 Form II (Regulation 4) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 APPLICATION FOR CITIZENSHIP BY REGISTRATION PART I-APPLICATION 1. I, (full names)…………………………………………………………………….......……... of (residential address} ………………………………………………………………….......... Do state that: (Delete that which is not applicable to you) (a) I am of full age and capacity and am or have been married to a citizen; (b) I am ordinarily resident in Zambia and have been so resident for a continuous period of not less than ten years immediately preceding this application; (c) I was born in Zambia and have been ordinarily resident in Zambia for at least five years; (d) I was born outside Zambia, have or had an ancestor who is, or was, a citizen and I have been ordinarily resident in Zambia for a period of at least five years. 2. Other attributes/information: (a) I am of good character and I have adequate knowledge of the English and a local language (specify)……………………………………………………………… (b) In the event of this application being granted I intend to continue in the service of the Government. (c) I have not been refused registration as a citizen immediately preceding this application. 3. My intention to apply for citizenship by registration was published in the Gazette dated the ……..…day of ………………….20 ……… and in two issues of …………… (state name of newspaper) dated the ………….day of …………….20……… and the …………………. day of ……………………… 20…………., which is a newspaper of daily circulation in my area of residence. 4. I am applying for citizenship by registration. Dated at ……………… this …………… day of ……………….. 20 ……………………….. …………………………………………. Signature 30th June, 2017 Statutory Instruments 361 PART II—PARTICULARS OF APPLICANT 5. Place and date of birth of applicant…………………………………………………............. 6. Nationality at birth …………………………………………………………………….......... 7. Present nationality if different from nationality at birth….………………………………….. 8. Residential/business address in Zambia……………………………………………………… 9. Occupation ……......………………………………………………………………………… 10. Marital status…………………………...……………………………………..................... 11. Father’s full name ………………….………………………………………………................ 12. Father’s residential address (if alive)……………………………......……………………… 13. Father’s nationality……………………………………… (If dead, give nationality at time of death) 14. Mother’s full name …………………………………………………………....…………… 15. Mother’s residential address (if alive)……………………………………….....………….. 16. Mother’s nationality……………………………………… (If dead, give nationality at time of death) 17. Date of previous application for citizenship by registration (if any)…………………………. 18. 19. If original name has been changed, give particulars……………………………………….... If nationality has changed since birth, give particulars…………………………………...... ........................................................................................... 20. If Stateless, give circumstances in which nationality was lost............................................. ............................................................................................................................................. 21. Give particulars of criminal proceedings taken against you at any time and in any country…………………………………………………………………………………………. 22. If married, give date and place of marriage……………………………………………….. 23. Spouse’s full name before marriage ..................................................................................... ............................................................................................................................................ 24. If spouse is dead, give place and date of death ................................................................... .................................................................................................................................................. 25. If marriage is dissolved, give date and place…………………………………………… 26. Give particulars of your children, if any: Full name of each child Date of birth Place of Birth Where now resident 27. Give details of previous residence in Zambia From (date) To (date) Address Years Months NOTE: Any period spent as an inmate of a prison or mental institution or any period spent as a visitor to Zambia or under a temporary residence permit does not count as residence. 362 Statutory Instruments 30h June, 2017 PART III—CERTIFICATE OF SPONSORSHIP (a) I …………………………..……………….………. of ………………..……… being a citizen certify that the applicant herein is a person known to me and is of good character; that in my opinion the applicant would be a suitable citizen and that the particulars in Part II of this application are correct to the best of my knowledge and belief. I am not the Advocate or agent of the applicant and I have known the applicant for ……………. Years 28. . Dated at……….......…….. this………………day of……........……… 20……………….. Witness: Name............................................... Signature......................................... Signature of Sponsor...................................... ....................................................................... Designation (b) I,.................of… being a citizen certify that the applicant herein is a person known to me and is of good character; that in my opinion the applicant would be a suitable citizen; and that the particulars in Part II of this application are correct to the best of my knowledge and belief. I am not the Advocate or agent of the applicant and I have known the applicant for……………………………years Dated at……….......…….. this………………day of……........……… 20……………….. Witness: Name............................................... Signature......................................... Signature of Sponsor...................................... ....................................................................... Designation (c) I,………………………………….of……………………………………………being a citizen certify that the applicant herein is a person known to me and is of good character; that in my opinion the applicant would be a suitable citizen; and that the particulars in Part II of this application are correct to the best of my knowledge and belief. I am not the the applicant and I have known the applicant Advocate or agent of for…………………………..years Dated at……….......…….. this………………day of……........……… 20……………….. Witness: Name............................................... Signature......................................... Signature of Sponsor...................................... ....................................................................... Designation (d) I,………………………………….of……………………………………………being a citizen certify that the applicant herein is a person known to me and is of good character; that in my opinion the applicant would be a suitable citizen; and that the particulars in Part II of this application are correct to the best of my knowledge and belief. I am not the Advocate or agent of the applicant and I have known the applicant for……………….years Dated at……….......…….. this………………day of……........……… 20……………….. Witness: Name............................................... Signature......................................... Notes: Signature of Sponsor...................................... ....................................................................... Designation (i) The sponsors, in the case of paragraph 26 (a) and (b), must be a Member of Parliament, a senior government officer, a Magistrate, a Legal Practitioner, a Bank official, a councilor, a Gazetted Minister of Religion or a Medical Practitioner, who is a citizen. (ii) The sponsors in the case of paragraphs 26 (c) and (d) need not be in the class mentioned in the note to paragraphs 25 and 26. 30th June, 2017 Statutory Instruments 363 PART IV—DECLARATION BY APPLICANT 29. I,………………………………………………………………do solemnly and sincerely declare that to the best of my knowledge and belief the particulars stated in this application are true. ........................................................ Signature of applicant Declared at……….....………this…......……day of……........................………20……… ……………………………………………… (Commissioner for Oaths) FOR OFFICIAL USE ONLY List of Documents Attached CERTIFIED COPIES OF: (a) Residence Permit (b) Title Deeds (where applicable) (c) National Registration Card (d) Marriage Certificate and Spouse Permit (where applicable) (e) School Certificates or Equivalent (f) Statement of Accounts (g) Certificate of Incorporation or Registration and Certificate of Share Capital (where applicable) (h) Tax Clearance Certificate issued by the Zambia Revenue Authority ORIGINAL DOCUMENTS: (a) Five (5) passport-size photos (b) Finger prints and police clearance certificate (c) Three (3) letters from citizens who have known you for ten years or more and are resident in Zambia for example Member of Parliament, a Senior Government Official, a Magistrate, a Legal Practitioner, a Bank Official, Local Authority or a Medical Practitioner. (d) Completed citizenship questionnaire annexed hereto. Signature of the Receiving Officer: …………………………………………….. 364 Statutory Instruments 30h June, 2017 ANNEX CONFIDENTIAL Republic of Zambia CITIZENSHIP QUESTIONNAIRE This Document is the Property of Government of the Republic of Zambia. 1. Surname……………………………………………………………………….……............... 2. Other names………………………………………………………………………..…........... 3. Date of birth:…………………………………………………………………………...…..... 4. Place and country of birth…………………………………………………………..….......... 5. Nationality at birth:………………………………………………………………….............. 6. (a) Passport number:……………………………………………………………….……....... (b) Date of issue:…………………………………………………………………….………. (c) Place of issue:……………………………………………………….………………………. 7. (a) National registration card number:…………………………….……………….………… (b) Place and date of issue ……………………………………………….……..……………… 8. Religion:…………………………………………………………………………….…........... 9. Educational profile/Background Schools Attended Primary Secondary Post Secondary Dates From To 10. Date and object of entry into Zambia ................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................... 11. Permits:................................................................................................................................ (a) Residence permit, permit number and date of issue .......................................................................................................................................... (b) Spouse permit, permit number and date of issue (if married to a citizen) ............................ 12. Assets held in Zambia:.......................................................................................................... 13. Financial position:............................................................................................................... (a) Name of banker:................................................................................................................ (b) Certified bank statement:.................................................................................................. (c) Audited financial statement (in case of an investor):…………………...…….……………. 14. When did you last visit your country of origin:………………….………………...……… 15. Date of any previous application for citizenship by registration:…………………………… 16. Give particulars of all criminal proceedings, if any against you in the past ten years: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 30th June, 2017 Statutory Instruments 365 17. If married, give date and place of marriage: ………………………………………….…...... ............................................................................................................................................ 18. Spouse’s full names and address: …………….………………………………….……….... ............................................................................................................................................ 19. Spouse’s nationality:……………………………………………………….……………..... 20. If spouse is dead, give place of death: ............................................................................................................................................ ............................................................................................................................................ 21. Full details of residence in Zambia (in chronological order from date of entry to date) (a) …………………………………….…………………………………………………....... (b) …………………………………..………………………………………………….......... (c) ……………………………………………………………………………………............. (d) ……………………………………..……………………………………………….......... 22. Details of previous employment: (From first date of entry into Zambia to date) Name of Employer Occupation Contanct Address of the Employer 1. 2. 3. 4. 23. Type of business, in the case of an employer:…………………………………………....... 24. Self-employed (a) Type of business:……………………………………………………………………....... (b) Number of employees:………………………………………………………………....... (i) Zambian……………………………………………………………………………..... (ii) Non-Zambian ……………………………………………………………………....... 25. Name(s) of child(ren), date(s) of birth, place(s) of birth, birth certificate(s), national registration card number (where applicable) (a)……………………………………………….......………………………………………… (b)……………………………………………………………………….......………………… (c)……………………………………………………………………….......………………… (d)……………………………………………………………………………......…….……… (e)…………………………………………………………………………........…..…………. (f)…………………………………………………………………………......….…………… (g)………………………………………………………………………….....………………. 26. Details of applicant’s parents: (a) Father’s names and address…………………………………………………………......… (i) Father’s nationality at applicant’s birth…………………………………….….....…… (ii) Father’s nationality and country of birth………………………………………………. (iii) Date of father’s entry into Zambia……………………………………………………. (iv) Period father spent in Zambia…………………………………………….…………… (b) Mother’s full names and address: …………………………………..….………….……... (i) Mother’s nationality at applicant’s birth: …………………………………………..…… (ii) Mother’s nationality and country of birth: ……………………………..……………… (iii) Date of mother’s entry into Zambia: …………………………………………………. (iv) Period mother spent in Zambia: ………………………………………………………. 366 Statutory Instruments 30h June, 2017 27. Details of brothers, sisters, uncles or other relatives: No. Name Relationship Certificate of Registration No NRC No. 1. 2. 3. 4. 5. 6. 7. 8. 28. Names and addresses of close friends and associates who are citizens: No. Names Postal Address Residential Address NRC No. Contact Numbers 1. 2. 3. 4. 5. 6. 7. 8. 29. Reasons for applying for citizenship: (a)…………………………………………………………………………………………....... (b)…………………………………………………………………………………………....... (c) …………………………………………………………………………………………...... (d)…………………………………………………………………………………………....... (e)…………………………………………………………………………………………....... (f)…………………………………………………………………………………………….... Note: To avoid delay please re-check and ensure proper completion of this questionnaire before returning it to the Chief Passports and Citizenship Officer P.O Box 30104, Lusaka. Applicant’s signature:…………………………… Date:………………………………………………… 30th June, 2017 Statutory Instruments 367 Form III (Regulation 5) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REQUEST FOR ADDITIONAL INFORMATION To: ……………………………………………………………………………...………………… Address:……………………………....………………………………………………………….. Application No: ……………………………..…………………………………………………… You are requested to furnish the following information or documents in respect of your application for registration as a citizen within twenty-one working days from the date of your receipt of this notice: (a) ………………………………………………………....…………………………………. (b) ……………………………………………………………........………………………….. (c) ………………………………………………………………........……………………….. (c) ………………………………………………………………........……………………….. If you fail to furnish the requested information within the stipulated period, your application will be treated as invalid and shall be rejected. Dated this ……………….……….. day of …………..……........……………. 20………… ……................................…………………….. Chief Passports and Citizenship Officer 368 Statutory Instruments 30h June, 2017 Form IV (Regulation 7) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 CERTIFICATE OF CITIZENSHIP BY REGISTRATION WHEREAS …………………………………………………………………………………….......... has applied to the Board for citizenship by registration alleging with respect to himself/herself the particulars set out below, and has satisfied the Board that the conditions set out in the Constitution of Zambia and Citizenship of Zambia Act, 2016 for the grant of a certificate of registration are fulfilled; NOW, THEREFORE, the Board pursuant to the powers conferred upon the Board by the Act, grant to the said …………………………………………………………………………………… this certificate of citizenship by registration and declare that upon taking the oath of allegiance within the time and in the manner required by these regulations, he/she shall be a citizen of Zambia as from the date of this certificate. IN WITNESS WHEREOF I have hereto subscribed my name this………………………………......... .day of...…………………………….20………………………………………………………… ...........……………………………………………... Chief Passports and Citizenship Officer PARTICULARS OF APPLICANT Full Names………………………………………………………………………………………… Address……………………………………………………......………………………………….. Profession or Occupation…………………………………...……………………….................... Place/country and date of birth……………………………………………………………………… Nationality at birth………………………………………………………………………………. Present nationality…………………………………………………………………………………. Marital status…………………………………………………………………………………….. Name of spouse…………………………………………………………………………………... Name and nationalities of : (a) Father: ……………………………………………………………………......................... (b) Mother:………………………………………………………………….......................... The oath of allegiance was taken and subscribed before a Commissioner for Oaths on the …………………….……….. day of ……………………………20…………………………… Certificate of Renunciation/Declaration in lieu of Certificate of Renunciation registered on the ………………………….... day of ……………………….20……………… (where applicable) 30th June, 2017 Statutory Instruments 369 Form V (Regulation 8) The Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) Attach a passport-size photograph of the child The Citizenship of Zambia Regulations, 2017 NOTICE OF CITIZENSHIP OF ADOPTED CHILD 1. NOTICE IS GIVEN in respect of ……………………………………………. (Full name in Block letters) ………………………………………… (Address), a child under the age of eighteen years who was not a citizen of Zambia, and adopted by ………………………………….….. (Name of the adopter). 2. Place and date of child’s birth ……………………………….…………………….……....... 3. Place and date of birth of child’s adoptive parents (a) Father ……………………………………………………………………………..….….... (b) Mother ……………………………………………………………………………............ 4. Nationality of child’s adoptive parents: (a) Father…………………………………………………………………………………....... (b) Mother…………………………………………………………………………………..... 5. Child was citizen of …………………………………… (Country) by birth, descent, registration (delete inapplicable words). 6. Particulars of adoption order ……………………....………….......…………….………….. (i) Date of the order and court of jurisdiction …………………......………………..…… (ii) Details of the adoption order ………………………………….………………..……. 7. Usual signature or mark of a child.………………………........…………………….……….. I …………………………..................................................................... (Name of adopter) of ……………………………………...……………………….. (Residential address) declare that ………………………………………..………. (Name of child) is my adopted son/daughter Dated the …………..……..… day of ……………..…...................………… 20…….…….… Signature or mark of adopter …………………………………….………..………………… 370 Statutory Instruments 30h June, 2017 Form VI (Regulation 9) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 NOTICE OF ACQUISITION OF CITIZENSHIP OF ANOTHER COUNTRY To: The Board NOTICE IS HEREBY GIVEN THAT I, ……………………....… ………………...……………(name) of …………………………………………………………………………………(present address) acquired the citizenship of …………………………………...…………………(name of country) on the …………………day of ………………………20……………….……… per the attached document evidencing the acquired citizenship. Dated the ……………….........…….day of…………..........………………… 20……… …………………………………………….. Signature of informant 30th June, 2017 Statutory Instruments 371 Form VII (Regulation 10(1)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 APPLICATION FOR BESTOWAL OF CITIZENSHIP PART I—PARTICULARS OF APPLICANT 1. Full name of applicant:………….…………………………………………..………..……… 2. Date of birth:……………………………………………..…………………..……..….…… 3. Place and country of birth:………………….....…………..……………………………….. 4. Current nationality:……………........…………………………………………..…….……... 5. Birth certificate number:…………………………………………………… ………...……… (a) Date of issue:……………………………………………………………………............. (b) Place of issue:…................................................................................................................... 6. Passport number:………………………..…………..………………………..…………….... (a) Date of issue:……………………………………………......……….…………….......... (b) Place of issue:………………………………………........…………..….............................. 7. Date of loss of citizenship: …………………………………………………………………. 8. Reasons for loss of citizenship: …………………………………………………………… 9. Documents held at that time:………………………………………………………………… 10. Occupation or profession:…………………………………………………………………… 11. Details of employer (if employed):…………………………..……………………………… 12. Company or business name details (if self-employed): …………….………………………. 13. Postal address:…………………………………………………………………………….... 14. Residential address:……………………………………………….………………………... 15. Country of residence:……………………………………………………………………..... 16. Nationality and full names of spouse (where applicable)………………………………… 17. Number of children (where applicable):…………………………………………………….. 18. Place and date of parents’ birth (where available)…………………………………............. ............................................................................................................................................... 19. Nationality of parents: (a) Father:…………………………………………………………………………… (b) Mother:…………………………………………………………………………….. 372 Statutory Instruments 30h June, 2017 20. Educational profile/Background Schools Attended Primary Secondary Post Secondary Dates From To PART II - DECLARATION I, …………………………………………………do solemnly and sincerely declare that to the best of my knowledge and belief the particulars stated in the application are true. Declared at ………………...….. this day of ………...…………….....………20…………….. …………………………………. Signature of applicant ………………………………………………... Commissioner for Oaths 30th June, 2017 Statutory Instruments 373 Form VIII (Regulation 10 (4)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) CERTIFICATE OF BESTOWAL OF CITIZENSHIP WHEREAS ……………………………………………………………………………………., having ceased to be a citizen, has applied to the Board for bestowal of citizenship alleging with respect to himself/herself the particulars set out below, and has satisfied the Board that the conditions set out in the Constitution of Zambia and the Citizenship of Zambia Act, 2016, for the grant of a certificate of bestowal of citizenship are fulfilled; NOW, THEREFORE, the Board, pursuant to the powers conferred upon Board by the Act, grant to the said…………………………. this certificate of bestowal of citizenship and declare that upon taking the oath of allegiance within the time and in the manner required by the regulations made in that behalf he/she shall be a citizen as from the date of this certificate. IN WITNESS WHEREOF I have hereto subscribed my name this …………………day of ……………………………..20………………………………… …………………….…………………….. Chief Passports and Citizenship Officer PARTICULARS OF APPLICANT Full names……………………………………………………………………………………..….. Address………………………………………....………………………………………………… Profession or occupation………………………………………………………………..….…… Place/country and date of birth ………………………………………………………………….… Nationality at birth…………………………………………………………………. …………… Present nationality…………………………………………………………………………….…. Marital status……………………………………………………………………………………… Name of spouse…………………………………………………………………………………… Names and nationalities of: (a) Father:………………………………………………………………………… ……….….. (b) Mother:…………………………………………………………………………..………… The oath of allegiance was *sworn/affirmed and subscribed before a Commissioner for Oaths on the …………………………….. day of ……………………….. 20 ……………………………. *Delete as applicable 374 Statutory Instruments 30h June, 2017 Form IX (Regulation 11) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 OATH OF ALLEGIANCE I,...................................................................................................., do *swear/affirm that I will be faithful and bear true allegiance to the President of the Republic of Zambia and that I will preserve, protect and defend the Constitution of Zambia as by law established. *SO HELP ME GOD ……….……………………… Signature *Sworn/affirmed by the said .…….……………………this …………............................ day of …..…………………..20……………………. BEFORE ME: ………………....…………………….. Commissioner for Oaths *Delete as applicable 30th June, 2017 Statutory Instruments 375 Form X (Regulation 12 (1)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 DECLARATION OF RENUNCIATION OF CITIZENSHIP 1. I, ……………………………………….………………….……………………………........ of ……………………………………………………..……………………………………... am of full age and capacity and was born at …………………….….……………………… on ………………………………………………........………………….…………………... 2. 3. I *am/have/have not been married. I am a citizen of …………………......………..…………………………………………….. under the law of that country. 4. I hereby renounce my citizenship I,……………………………………………………………………..………………………… do solemnly and sincerely declare that the particulars stated in this declaration are true, and I make this solemn declaration conscientiously believing the same to be true. …………………………………. Signature Made and subscribed this ………………….. day of ………………………… 20…………….. BEFORE ME: ……………..……………………………… Commissioner for Oaths *Delete as applicable 376 Statutory Instruments 30h June, 2017 Form XI (Regulation 12 (2)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 CERTIFICATE OF RENUNCIATION OF CITIZENSHIP This is to certify that Prof/Dr/Mr/Ms……………….…………………..……..of (postal address) …………………………………….has on this day…………..of …………….20………………. decided, of his/her own free will, to renounce his/her citizenship in accordance with section 32 of the Act. The renunciation has been registered and Prof/Dr/Mr/Ms ……………………………………….. has forthwith ceased to be a citizen. ……………………………………………………….. Chief Passports and Citizenship Officer Official Date Stamp 30th June, 2017 Statutory Instruments 377 Form XII (Regulation 13 (1)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 NOTICE OF INTENTION TO DEPRIVE CITIZEN OF CITIZENSHIP To………………………………………….of……………….......……………….…….(address) TAKE NOTICE that the Board intends to deprive you of your citizenship on the grounds that you obtained the citizenship by means of *fraud/false representation of a material fact/concealment of a material fact as follows (list particulars of the ground for intended deprivation of citizenship): (a) ……………………………………………………………………………......................... (b) ……………………………………………………………………………………............. (c) …………………………………………………………………………………….............. (d) ………………………………………………………………………………………......... (e) …………………………………………………………………………………….............. TAKE FURTHER NOTICE that you are required, within fourteen days from the date of service of this notice on you, to show cause in writing to the Board, why you should not be deprived of your citizenship. Take notice also that you have a right to have your case referred for inquiry to a commissioner appointed in accordance with section 31 of the Act. Dated …………………………. day …………………………….. of …………………………. ………………………………………………………. Chief Passports and Citizenship Officer 378 Statutory Instruments 30h June, 2017 Form XIII (Regulation 13 (5)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 NOTICE OF DEPRIVATION OF CITIZENSHIP To…………………………………………………………….of …………...…………(address) TAKE NOTICE that the Board has deprived you of citizenship on the following grounds: (a) …………………………………………………………………………………….. (b) …………………………………………………………………………………….. (c) ……………………………………………………………………………………….. (d) ……………………………………………………………………………………….. (e) ……………………………………………………………………………………….. Dated …………………………………. day …………………………….. of ………………… ………………………………………………………. Chief Passports and Citizenship Officer 30th June, 2017 Statutory Instruments 379 Form XIV (Regulation 15 (a)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REGISTER OF CITIZENS BY REGISTRATION S/n Certificate No. Surname Other names Date of birth Place of birth Date registered Sex Previous/ other citizenship File no. 380 Statutory Instruments 30h June, 2017 Form XV (Regulation 15 (b)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REGISTER OF CHILDREN PRESUMED TO BE CITIZENS BY BIRTH Date of Registration Name of Informer Date found Sex S/n Place of birth(if known) Name of foundling (If any of known) origin (if known) File no. 30th June, 2017 Statutory Instruments 381 Form XVI (Regulation 15 (c)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REGISTER OF CITIZENS BY ADOPTION S/n Certificate No. Surname Other names Date of birth Place of birth Date of adoption Name of adopter(s) File no. Sex 382 Statutory Instruments 30h June, 2017 Form XVII (Regulation 15 (d)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REGISTER OF PERSONS WHO HAVE RENOUNCED OR BEEN DEPRIVED OF CITIZENSHIP Certificate No. S/n Surname Other names Date of birth Place of birth Sex Date citizenship renounced Date citizenship deprived Nationality of origin File no. 30th June, 2017 Statutory Instruments 383 Form XVIII (Regulation 15 (e)) Republic of Zambia The Citizenship of Zambia Act, 2016 (Act No. 33 of 2016) The Citizenship of Zambia Regulations, 2017 REGISTER OF CITIZENS HOLDING DUAL CITIZENSHIP S/n Certificate No. Surname Other names Date of birth Place of birth Gender Date of acquisition of dual citizenship Other nationality File no. 384 Statutory Instruments 30h June, 2017 SECOND SCHEDULE (Regulations 4 and 18) PRESCRIBED FEES S/N 1. 2. 3. 4. 5. 6. Item Application for citizenship by registration Certificate of citizenship by registration Application for bestowal of citizenship Certificate of bestowal of citizenship Declaration of renunciation of citizenship Letter of confirmation Fee Units 1,834 33,333 1,000 16,667 3,333 1,000 LUSAKA 28th June, 2017 [MHA.64/9/6] S. KAMPYONGO, Minister of Home Affairs