SPECIAL ECONOMIC ZONE APPLICATION FORM

Transcription

1 SPECIAL ECONOMIC ZONE APPLICATION FORM 1

2 REQUIREMENTS FOR APPLICATION FOR A ZIMSEZA CERTIFICATE APPLICATION PROCESS To apply for a licence or permit in a Special Economic Zone you need to provide: a. Fully completed ZIMSEZA Application Form, b. Certificate of Incorporation/ Registration for the applicant s company, c. Proof of finance of the project may be provided either by bank statements, confirmation letter from a bank, confirmed bank loans, other confirmed credit facilities and or equipment/ machinery, d. Brief resumes/ CVs for Shareholders and or Directors and copies of identification documents (national IDs for Zimbabweans and passports and visa/ resident permits for foreigners). e. Feasibility study report f. Business plan which includes master plan, strategic plan, marketing plan and engineering drawings g. An approved Environmental Impact Assessment Report (where applicable) Other SECONDARY LICENCES which the authority will assist in obtaining a. Environmental Impact Report, approved by the Environmental Management Agency, b. Mining Licences and or Mineral Prospecting Licences Ministry of Mines), c. Tourism Licences (Hotels, safari hunting, Tour guides, Casinos, Restaurants, Night Clubs, permits from National Parks and Wildlife Management Zimbabwe Tourism Authority), d. Financial Institutions (Reserve Bank of Zimbabwe, insurance companies and brokers), e. Medical Projects approved from the Ministry of Health and Child Welfare, f. Transport and Communications Projects seeking to operate Haulage Trucks, Commuter Omnibuses or any form of Transport classified as Public transport shall require approval from Ministry of Transport and Infrastructural Development. Projects in telecommunication such as cellular companies, Internet service providers (ISPs), etc, require a telecommunication approval from Potraz. Projects in broadcasting should have approval of the Broadcasting Authority of Zimbabwe. 2

3 DETAILS OF LANDOWNER/DEVELOPER/ OPERATOR/ USER (tick where applicable) Company Name:... Name of company representative.... Contact details of company representative.. Company registration number..,.. Business Physical Address.,.. Telephone & Fax:,.. Business Address:.... Origin of Investment funds:... DETAILS OF COMPANY OWNERSHIP Name of Director/ Shareholder Nationality Resident/Nonresident Shareholding (%) DETAILS OF COMPANY DIRECTORS/ SHAREHOLDERS Name Passport/ I.D. Number Nationality Telephone No. Residential Address 3

4 PROPOSED INVESTMENT DETAILS Investment Sector.... Proposed location of investment (property/farm name, stand number, town, province). Title deed or lease number (attach) Hectarage or extent of land. Estimated size of the project.. Estimated Total Cost of the Project:.. Estimated start-up cost... Estimated total value of infrastructure to be developed. To what extent will the proposed investment result in the transfer of technology and managerial and other skills....(if space provided is not sufficient kindly attach further details or explanation) Are you willing to export 80% of your product outside Zimbabwe. What is the extent of value addition and beneficiation of local raw materials (give specific examples and extents).. To what extent will the proposed investment promote industrialisation of the domestic economy and how?.. Proposed date of commencement of the Project Implementation:. Estimated date of completion of development... Give a brief summary of how the proposed investment will establish linkages within the domestic economy... 4

5 Brief Investment project description, activity and process The investor must attach a detailed business/ project proposal that should cover but not limited to the following: 1. Extent of value addition and beneficiation of local material. 2. The extent to which the proposed investment will lead to the creation of employment opportunities and the development of human resources. 3. Degree of export orientation or import substitution of the project. 4. The impact the proposed investment is likely to have on the environment and where necessary the measures proposed to deal with any adverse environmental consequences. INVESTMENT FINANCING Sources of Funds Amount US$ % Local Funds Local Assets in kind Injection Equity/Loan/ Debt Capital Equipment Other Total The investor must attach an itemized list and value of local assets, capital equipment and machinery from abroad. ENVISAGED PROJECT BENEFITS a. Projected Exports (Values of Products and/or Services) Year 1 Yr Product or Services Local Sales US$ b. Employment Total Output US$ Total Exports US$ % Exports 5

6 Category Year 1 Year 2 Year 3 Zim. Expatriate Zim. Expatriate Zim. Expatriate Managerial staff Technical staff Operations Skilled Others ENVIRONMENTAL PROTECTION Emissions, Waste Product and Hazardous Materials Production Item Proposed Method of Treatment or Disposal Approval will be granted subject to an approved Environmental Impact Assessment Report DECLARATION I, the undersigned, being duly authorised, hereby certify to the best of my knowledge and belief, that the information contained in this application form is substantially true and correct. Should this be approved, I undertake to comply with all requirements, conditions and regulations set out by the Zimbabwe Special Economic Zones Authority. (N.B. The declaration should only be done by an authorised Director of the Company) Full Name Date Signature 6

7 FOR OFFICIAL USE Date Submitted. Received by.. Processed by..... Information Captured by.. Date submitted for approval Date licence or permit issued.. 7