Permits Application Form

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Zambia Bureau of Standards
P.O. Box 50259, Lechwe House,
Freedom way-South end, Lusaka
Tel: 260-21-1231385.
Fax: 260-21-1238483
Email: zabs@zamnet.zm
APPLICATION FOR A PERMIT TO SUPPLY
(STANDARDS ACT, CAP 416 OF 1994)
(COMPULSORY STANDARDS REGULATIONS)
The information you provide on this document is collected by the Zambia Bureau of Standards under the authority of the Standards act for the purpose
of issuing a permit.
Type of application New  Renewal 
Existing Reg. No (If applicable)
Company Information
Legal Status
Private
Limited
Corporation
Partnership
Individual
Cooperative
Family
Other
Legal Name of Company
Contact person
Title
Physical Address
City /Town
Postal Address
Email
Telephone
Mobile
Fax
Product Information
Which product are you applying a permit for? (Tick one box only)
Fertilizer –Urea
Bottled Water
Refined Vegetable Oil
Rubber Condom
Biscuits
Household Detergents
Primary Dry Batteries
Paints
Used Textiles
Number Plates
Poultry Feeds
Household Electrical Appliances
Lead Acid Batteries
Lubricants
Jams
Pig Feeds
Fertilizer – Ammonium Sulphate
Leather Safety Shoes
Laundry Soaps
Cement
Cattle Feeds
Calcium Ammonium Nitrate
Peanut Butter
Fruit Flavoured Drinks
Wheat Flour
Fertilizer -Ammonium Nitrate
Plugs And Sockets
Clear Beer 
Toilet Soap
Compound Fertilizers
Adapters
Opaque Beer
Electric Cables
Maize Meal
Imported Used Motor Vehicle
Fuels
Chalk
Steel
Yes 
Are any of your product brands certified to the applicable standard?
No
Product Brands
1.__________________________
4.__________________________
7.__________________________
10._________________________
2.__________________________
5.__________________________
8.__________________________
11 _________________________
3. _________________________
6.__________________________ 9.__________________________ 12. ________________________
Production
Annual production capacity
__________________________________
Actual production in previous year
Product turnover in previous year
__________________________________
(ZMK)
__________________________________
Declaration
I have enclosed an application fee of K 275, 000 for the first brand of product and K15, 000 for each additional brand for a total
of_______________________ (STATE AMOUNT) for the _________ (STATE NUMBER) brands applied for.
I declare that I am authorized, on behalf of the company, to submit this application, and that the information contained herein is both correct and
accurate to the best of my knowledge and belief.
I hereby apply for a permit to supply the product brand(s) specified above.
Name:
______________________________________________ Title:
________________________________________________
Signature:
_______________________________________________ Date:
________________________________________________
Inspections Form IF 02
Rev. 05_2014
Page 1 of 2
INSTRUCTIONS

Please complete all the applicable sections of this application form in BLOCK CAPITALS or in TYPE to apply for a permit.

Each production facility requires a separate application form.

Each product for which a different compulsory standard applies requires a separate application form. However, the application may
contain all the brands of that product.

Each application must be accompanied by the basic application fee for a product brand of K 275, 000 + VAT (K 319, 000) and K15, 000
+ VAT (K17, 400) for each additional brand of that product.

All information given to ZABS for the purposes of this application will be treated in the strictest confidence and according to the
provisions of the Standards Act.

The person making this application must hold EXECUTIVE AUTHORITY within the corporate structure that includes the facility for
which the application is being made. A permit cannot be granted to a third party.


This application form MUST BE SIGNED BY THE PERSON HOLDING EXECUTIVE AUTHORITY
The stipulations of the GENERAL AND SPECIFIC PERMIT CONDITIONS for the PERMIT and the COMPULSORY STANDARD(S)
appropriate to the product apply.

INCOMPLETE APPLICATIONS will result in a delay in processing; therefore please ensure you have all the information required before
returning this form to ZABS, and that you have read, understood and acted upon the appropriate standards.

FALSE or MISLEADING INFORMATION will result in the rejection of the application.

Once you have completed the application form IN FULL, SIGNED THE DECLARATION and enclosed or otherwise paid the application
fee, a copy of this document may be faxed or emailed to ZABS, however a copy containing the original authorizing signature should
also be mailed to ZABS.

Please return to the following address:
The Executive Director
Zambia Bureau of Standards
Lechwe House, Freedom Way - South End
P.O. Box 50259
ZA 15101 Ridgeway
Lusaka
Tel: +260 01 238483/231385/227075
Fax: +260 01 238483
E-mail: zabs@zamnet.zm
Inspections Form IF 02
Rev. 05_2014
Page 2 of 2
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