Employer Registration | Domestic
Employer Details
Nationality
*
Zambian
Foreigner
National ID/ Passport No
*
Title
*
Mr
Ms
Mrs
Dr
Prof
Hon
H.E
First Name
*
Last Name
*
Employer Name
Mobile
*
Email
*
Login ID
Address and Location
Plot Number
*
Street Name
*
Location
*
Town
*
- Select One -
CHADIZA
CHALATA
CHAMA
CHAMBESHI
CHAMBESHI
CHAVUMA
CHIBOMBO
CHIENGE
CHILANGA
CHILILABOMBWE
CHILUBI
CHILUBI-ISLANDA
CHINGOLA
CHINSALI
CHINSENDA
CHIPATA
CHIPEPO
CHIRUNDU
CHISEKESI
CHITOKOLOKI
CHIZERA
CHOMA
CHONGWE
CHYONYONSHI
FRINGILA
FRINGILLA
GWEMBE
IKELENGE
IMUSHO
ISOKA
ITEZHI-TEZHI
KABOMPO
KABWE
KABWE RURAL
KACHOLOLA
KAFUE
KALABO
KALOMO
KALOMO
KALULUSHI
KANONA
KAOMA
KAPAWA
KAPIRI MPOSHI
KAPUTA
KASAMA
KASEMPA
KASUMBALESA
KATETE
KATETE
KAWAMBWA
KAZEMBE
KAZIMULE
KAZUNGULA
KITWE
LIKOMA
LIMULUNGA
LIVINGSTONE
LIVINGSTONE
LUANGWA
LUANSHYA
LUFWANYAMA
LUKANGA
LUKULU
LUKWESA
LUNDAZI
Lusaka
LUSAKA
LUWINGU
LUWINGU
LWANSOBE
MAAMBA
MACHIYA
MAGOYE
MAMBWE
MANSA
MANYINGA
MAPANZA
MASAITI BOMA
MAZABUKA
MBABALA
MBALA
MFUWE
MILENGE
MINEMBE
MKUSHI
MKUSHI
MOKAMBO
MONGU
MONZE
MPIKA
MPONGWE
MPOROKOSO
MPULUNGU
MUFULIRA
MUFUMBWE
MULOBEZI
MULUNDU
MUMBWA
MUMBWA1
MUNGWI
MUNUNGA
MUPENA
MURUNDU
MUTENDA PART
MUTUNDU
MUYOMBE
MWAMI
MWANDI
MWENSE
MWEWA
MWINILUNGA
NAKONDE
NAMPUNDWE MINE
NAMUSHAKENDE
NAMWALA
NANGOMA
NANGWESHI
NATESH
NCHELENGE
NDOLA
NDOLA RURAL
NEGANEGA
NORTH CHISAMBA
NYENYEZI
NYIMBA
PART CHAMBESHI
PART MUKUSHI
PEMBA
PETAUKE
PUTA
SAMFYA
SENANGA
SENGA HILL
SERENJE
SESHEKE
SHANGOMBO
SIAVONGA
SICHILI
SINAZEZE
SINAZONGWE
SINDA
SIOMA
SOLWEZI
ZAMBEZI
ZIMBA
Nearest Worker Compensation Branch
*
- Select One -
Chingola
Chinsali
Chipata
Choma
Kabwe
Kafue
Kasama
Kawambwa
Kitwe
Livingstone
Luanshya
Lusaka-Cairo
Lusaka-Mount
Mansa
Mazabuka
Mkushi
Mongu
Monze
Mpika
Mufulira
Ndola
Petauke
Solwezi
Postal Details
Postal Address
Postal Name
Town
Employment Details
Date Started Employing
*
DD-MM-YYYY
Number of Employees
*
Supporting Documents
Please attach the following documents.
National ID/ Passport Copy
*
NOTE: The size of each document must not exceed
2MB
.
Valid formats are pdf, png, jpg, bmp, doc, docx
Summary and Confirmation