HPCZ Online
Services
Portal
Application for
New Facility
.
Facility
Information
(mandatory)
Facility Name
Year of Establishment
---- SELECT YEAR ----
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Ownership
---- SELECT OWNERSHIP TYPE ----
Facility Class
---- SELECT FACILITY CLASS ----
Category
---- SELECT Category ----
S
Facility
Supervisors
(mandatory)
Supervisor's Name
Profession
Physical Address
Workplace Address
HPCZ No.
NRC/Passport No.
Mobile No.
Email
Nationality
Remove
---- SELECT COUNTRY ----
[+] Add More Supervisor
Permanent
Address
(mandatory)
Physical Address
Street/Road
Mailing Address
Plot No.
Telephone No.
Email
Mobile No
Province
---- SELECT PROVINCE ----
CENTRAL
COPPERBELT
EASTERN
LUAPULA
LUSAKA
MUCHINGA
NORTH WESTERN
NORTHERN
OUTSIDE ZAMBIA
SOUTHERN
WESTERN
Fax
District
---- SELECT DISTRICT ----
CHADIZA
CHAMA
CHASEFU
CHAVUMA
CHEMBE
CHIBOMBO
CHIENGE
CHIFUNABULI
CHIKANKATA
CHILANGA
CHILILABOMBWE
CHILUBI
CHINGOLA
CHINSALI
CHIPANGALI
CHIPATA
CHIPILI
CHIRUNDU
CHISAMBA
CHITAMBO
CHOMA
CHONGWE
GWEMBE
IKELENGE
ISOKA
ITEZHI-TEZHI
KABOMPO
KABWE
KAFUE
KALABO
KALOMO
KALULUSHI
KALUMBILA
KANCHIBIYA
KAOMA
KAPIRI MPOSHI
KAPUTA
KASAMA
KASEMPA
KASENENGWA
KATETE
KAWAMA
KAWAMBWA
KAZUNGULA
KITWE
LAVUSHI MANDA
LIMULUNGA
LIVINGSTONE
LUAMPA
LUANGWA
LUANGWA DISTRICT
LUANO
LUANSHYA
LUFWANYAMA
LUKULU
LUMEZI
LUNDAZI
LUNGA
LUNTE
LUPOSOSHI
LUSAKA
LUSANGAZI
LUWINGU
MAAMBA
MAFINGA
MAMBWE
MANSA
MANYINGA
MASAITI
MAZABUKA
MBALA
MFUWE
MILENGE
MITETE
MKUSHI
MONGU
MONZE
MPIKA
MPONGWE
MPOROKOSO
MPULUNGU
MUFULIRA
MUFUMBWE
MULOBEZI
MUMBWA
MUNGWI
MUSHINDANO
MWANDI
MWANSABOMBWE
MWEMBESHI
MWENSE
MWINILUNGA
NAKONDE
NALOLO
NAMWALA
NCHELENGE
NDOLA
NGABWE
NKEYEMA
NSAMA
NSUMBU
NYIMBA
OUTSIDE ZAMBIA
PEMBA
PETAUKE
PLACEHOLDER
RUFUNSA
SAMFYA
SENANGA
SENGA HILL
SERENJE
SESHEKE
SHANGOMBO
SHIBUYUNJI
SHIWANGANDU
SIAVONGA
SIKONGO
SINAZONGWE
SINDA
SIOMA
SOLWEZI
VUBWI
ZAMBEZI
ZIMBA
Website
Branch
Yes
No
Branch of
---- SELECT MAIN BRANCH ----
Applicant
Information
(mandatory)
Applicant Name
Physical Address
Nationality
---- SELECT NATIONALITY ----
Applicant ID Number
Applicant Reg. Number
Workplace Physical Address
Facility
Staff List
(mandatory)
Staff Name
Profession
HPCZ No
NRC/Passport
Council
Employment Type
Nationality
Remove
---- SELECT COUNCIL ----
HPCZ
GNCZ
---- SELECT EMP TYPE ----
Full Time
Part Time
---- SELECT COUNTRY ----
[+] Add More Staff
Facility
Services
(mandatory)
Category
services
Facility
Attachments
(mandatory)
Certificate of Business Registration (BN3)
Busines Permit
Fire Certificate
Proprietors/Guarantors NRC/Passport copy
ZRA TAX Clearance copy
Premise Ownership/ Tenancy agreement copy
Environmental Impact Assessment (If New Facility) copy
Proof of Payment copy
Memorandum and Articles of Association
(Signed Page or CR12)
Medical Board (MPDB) Licence
Submit Facility