Apply for Membership

Complete the form below to apply for membership with the Small Scale Miners Association of Zambia (SSMAZ).

Personal Information

First Name *

Last Name *

National Registration Number (NRC)

Date of Birth

Phone Number *

Email Address

Select Membership Category *

Province

District

Mineral Type

Licence Number, if applicable

Brief Description of Mining Activity

Upload NRC Copy

Upload Licence, if applicable

I confirm that the information provided is true and correct.