Apply for Membership

Apply for corporate membership using your organisation’s details only. An account will be created for your company contact email.

Membership Class *

Nationality *

Used to determine the application fee for your organisation.

Personal Information

Title

First Name *

Last Name *

Other Names

Gender

Date of Birth

NRC/Passport Number *

Contact Information

Email Address *

Phone

Cell Phone

Physical Address

Professional Information

Current Job Title

Years of Experience

Employer Name

Employer Business

Employer Address

Highest Qualification

Institution

Year

Other Professional Memberships

Organisation details

Registered company / organisation name *

Organisation email *

Phone

Website

Physical address

PACRA certificate no.

ZRA certificate no.

WCFB certificate no.

Core business

Field of specialisation

Total employees

Company documents

Upload supporting company documents (PDF or images, max 10MB each).

PACRA / company registration

Tax / ZRA documentation

Company profile or overview

Application Fee

Application Fee: ZMW 0.00

Please select a membership class and nationality to see the application fee.

Payment Method

Select Payment Method *

Account Creation *

An account will be created for the organisation contact email so you can track this corporate application. Please set a password below.

Password *

Minimum 8 characters

Confirm Password *

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ZAMBIA OCCUPATIONAL HEALTH
AND SAFETY ASSOCIATION