Professional Documents
Culture Documents
(Regulation 39)
(In typescript and completed in duplicate)
PART A
COMPANY DETAILS IN ZAMBIA
Private Company Limited By Shares X Ensure that the
members of the
Type of Company Private Company Limited By Guarantee company understand
1. Select one type of Company by Public Limited Company the kind of company
marking with “X” being incorporated and
Unlimited Private Company the liability it carries
Company Name
2. Ensure that the name is captured
FARAS LOGISTICS LIMITED
exactly as approved by Company
Registry and has not expired
Plot/House/
Village
3410
8. Physical Address Street CHIBWE CRESCENT
State the registered Area KANSENSHI
office of the Company
Town NDOLA
Province COPPERBELT
Postal Address Post Box -
State the notification Area KANSENSHI
9.
address of the Town NDOLA
Company Province COPPERBELT
Phone Number Mobile +26 (0) 779 330 419
10. Include the
international code Landline
(e.g. +260 for Zambia)
11. Email Address sagalhashimhassan@gmail.com
Particulars of all charges on
any property in Zambia
12. Specify details of the charge. If no
charge was acquired, a statement
must be written to that effect.
Date when charge was
created
Property in Zambia acquired
13. by the company must not have been
acquired less than fourteen days
before the lodgement of the
application
Total amount secured by the
14. charge
Where applicable
Date of Acquisition of
15. Mortgage or Charge
Where applicable
Type of Property Mortgaged LAND
BUILDINGS
16. or Charged Where applicable
Select type of property by marking OTHER
with “X”) OTHER (Specify)
Description of Instrument
17. creating or evidencing the Where applicable
Mortgage
18. Title Deed Number Where applicable
PART B
PARTICULARS OF DOCUMENTARY AGENT
First Name LEVY
Surname SEPISO
Gender MALE
30. Date of Birth
Nationality ZAMBIAN
Identity Type
For Zambians: NRC NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number 466354/61/1
Name of Body Corporate SYLET BUSINESS CONSULTANCY
Where applicant is a Body Corporate
Nature of Body Corporate
Where applicant is a Body
Corporate, indicate whether CONSULTANCY AND GENERAL TRADING
applicant is a Company, Co-
operative, Trust, Society, Etc.
Registration Number, Date
and Country of
Incorporation of Body 320180012402
Corporate
Where applicant is a Body Corporate
Mobile +26 (0) 956 752 232
Phone Number
Landline +26 (0) 212 262 047
Email Address online.ndola@gmail.com / inquiries.sylet@gmail.com
Plot/House/
Village
B9/10
Street VITANDA
Physical Area TOWN CENTRE
Address Town NDOLA
Province COPPERBELT
Country ZAMBIA
ACCEPTANCE OF APPOINTMENT AS DOCUMENTARY AGENT
I/We, whose names and particulars appear above, accept to be appointed as Documentary Agent for this
Company:
31.
Signature: ……………………………..
Date: 12/05/2023
PART C
PARTICULARS OF LOCAL DIRECTORS
Note: Minimum of one local director
PARTICULARS OF DIRECTOR
First Name HASHIM ALI
Surname HASSAN
Gender MALE
Date of Birth 10/08/1966
Nationality ZAMBIAN
Identity Type
For Zambians: NRC
NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number 293568/10/1
32. Phone Number Mobile +26 (0) 977 108 000
Include the
international code Landline
(e.g. +260 for Zambia)
Email Address sagalhashimhassan@gmail.com
Plot/House
/ Village
3410
CHIBWE CRESCENT
Street
I, whose names and particulars appear above, consent to act as director for the above mentioned
33. company:
Plot/House
/ Village
2745
41. Physical Address Street Herschel
State the registered Area Herschel
office of the Company
Town Roseville
Province MN 55113
Postal Address Post Box -
State the notification Area Herschel
42.
address of the Town Roseville
Company Province MN 55113
Phone Number Mobile 7345965868
43. Include the
international code Landline
(e.g. +260 for Zambia)
44. Email Address Faraslogistics20@gmail.com
Nominal Capital or
45. Guaranteed Amount
Nominal Capital or Guaranteed 15,000.00
amount must not be less than the
prescribed minimum
Class of Shares
46. If other indicate the specific class of ORDINARY PREFERENTIAL OTHER
shares.
Not applicable to
47. Number of Shares 15,000.00 companies limited by
48. Par Value 1.00 guarantee
Number of Shares Issued
49.
Other Than For Cash
50. Financial Year End 28/02/2024
PART E
BENEFICIAL OWNERSHIP IN COUNTRY OF ORIGIN
PARTICULARS OF BENEFICIAL OWNERSHIP
First Name HUSSEIN M
Surname HUSSEIN
Gender MALE
Date of Birth 20/09/1970
Nationality UNITED STATES OF AMERICA
51. Identity Type
For Zambians: NRC
PASSPORT
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
Identity Number D3191760
Occupation BUSINESS MAN
Name of Body Corporate
Where applicant is a Body Corporate
Nature of Body Corporate
Where applicant is a Body
Corporate, indicate whether
applicant is a Company, Co-
operative, Trust, Society, Etc.
Registration Number, Date
and Country of
Incorporation of Body
Corporate
Where applicant is a Body Corporate
Mobile 7345965868
Phone Number
Landline
Email Address Faraslogistics20@gmail.com
Plot/House/
Village
2745
Physical/ Street Herschel
Registered Area Herschel
Office Address Town Roseville
Province MN 55113
Country UNITED STATES OF AMERICA
DIRECTOR/TRUSTEE OF BODY CORPORATE
No First Name: Surname: Identity Number: Date Appointed:
1
52. 2
3
4
SHAREHOLDER/SETTLER OF BODY CORPORATE
No First Surname: Identity Number: Number of Class of Number of Paid Up
Name: Shares: Shares: Shares:
1
2
53.
3
4
54. 2
3
4
Number of Shares (if any)
Class of Shares (if any)
Nature of Beneficial
Ownership
Briefly explain the nature of
beneficial ownership (whether trust,
legal arrangement etc.) including
how ownership control or economic
interest is maintained
55.
Date when beneficial
interest was acquired
If beneficial owner is
politically exposed person
(PEP) as defined in the
Financial Intelligence Act
No. 46 of 2010, provide
details (e.g. position held)
PART F
PARTICULARS OF PERSON LODGING APPLICATION
56. First Name LEVY
57. Surname SEPISO
58. Gender MALE
59. Date of Birth
60. Nationality ZAMBIA
Identity Type
For Zambians: NRC
61. NRC
For non-Zambians: NRC/Passport/
Driver’s Licence/Resident Permit
62. Identity Number 466354/61/1
Mobile 0956752232
63. Phone Number
Landline
64. Email Address Online.ndola@gmail.com
Plot/House/
Village
B9/10
Physical Street VITANDA
65. Address Area TOWN CENTRE
Town NDOLA
Province COPPERBELT
Country ZAMBIA