Bank Of Zambia - Vital Statistics Form
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2BANK of ZAMBIA
VITAL STATISTICS FORM
Part A (
This Part Applies to Zambian Citizens Only)
………………………….. .………………………………………………………….
Name
……………………………
……………………………………..
Date of Birth
Place of Birth
…………………………………
……………………
…………………
District
Village
Chief
Identity card number ………………………………………………………………………
…………………………………………………
.…………
Residential Address
Telephone No
Business Address………………………………………………………….Telephone No…………
………………………
…………………………………………
Marital Status
No.of Children
……………………
)………………
(
Passport No./NRC No
Expiry Date
If Passport No. indicated
Name of spouse……………………….. Identity card number……………………………
(
)
Part B
This Part Applies to Non-Zambians Only
………………………….
Name……………….
Residential Address……………………………
…………………………………..
……………………….
Immigration Permit No
Passport No
…………………
……………………………….
Passport Expiry Date
Entry Date into Zambia
(
)
Part C
Applies to Both Zambians and Non-Zambians
……………………………………………………………………...
Educational Background
………………………………………………………………………………………………
………………………………………………………………………………………………
…………………………………………………………
Employment Record………………...
………………………………………………………………………………………………
………………………………………………………………………………………………
Last Employer……………………………………………………………………………………….
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