Complete and submit the form below.
Full Name of Applicant *
Phone Number *
Email Address *
Apply on behalf of (Corporate Body Name) *
Address *
Details of the promotional competition *
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Name of Corporate body conducting the promotional competition *
Date of Registration *
Place of Registration *
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Please provide details for at least one director, partner, or secretary (Maximum 3 directors)
Director/Partner 1: Name and Address *
Description * DirectorPartnerSecretaryOther
+ Add Another Director/Partner
You can add up to 3 directors total
Have you or any of the persons named been convicted of fraud or declared bankrupt? *
YesNo
If yes give particulars (include names, dates, and nature of offence)
Promotion Start Date *
Promotion End Date *
Proposed Closing Date for entries *
Proposed Date of Draw *
Proposed Method of Draw * ManualElectronicBoth
Time of Draw * 8:00 AM9:00 AM10:00 AM11:00 AM12:00 PM1:00 PM2:00 PM3:00 PM4:00 PM5:00 PM6:00 PM7:00 PM8:00 PM
Place of Draw *
Proposed duration within which winners may collect the prize *
What method is proposed for the distribution of prizes? *
Are the promoters prepared to provide any guarantee to the Authority to cover any default? *
If No, state the reasons:
Please list all advertising expenses. Totals are calculated automatically.
Expense Description *
Expense Type * Print MediaRadioTelevisionDigital/Social MediaOutdoor/BillboardEvent/PromotionOther
Detailed Description / Notes
Vendor/Service Provider
Quantity *
Cost per Unit (MWK) *
Total Cost (MWK) *
Auto-calculated (Quantity × Cost)
+ Add Another Expense
You can add up to 15 expenses total
Total Advertising Cost: MWK 0
Upload supporting documentation (invoices, quotes, etc.)
Additional Notes (optional)
Totals are calculated automatically.
Prize Description *
Prize Type * Machinery or electrical applianceMotor vehicle including motorcycleHouse and landTravel accommodationCashOther
Detailed Description*
Retail Value per Prize (MWK) *
Total Value (MWK) *
Auto-calculated (Quantity × Value)
+ Add Another Prize
You can add up to 10 prizes total
Total Prize Value (All Prizes): MWK 0
Upload supporting documents (optional)
Name and Address of Accountant *
Accountant Contact Number *
Accountant Email *
Date of Declaration *
Applicant Designation *
Signature *
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