AGS

A.G.S Civils & Construction Limited

Client Registration Form — Build With Us!

📝 New Client Registration

Please complete this form to register as a client. Fields marked with * are required.

1. Client Category *

Select Client Category:

👤Individual
Client

🏢Private Company
/ Business

🏛️Government
/ Public Sector

🤝NGO / Non-Profit
Organization

2. Contact Person Details

Full Name *

Job Title / Position

Email Address *

Phone Number *

Alternative Phone

WhatsApp Number

3. Portal Account Password

Password *

You will use this password to log in to your client portal.

Confirm Password *

4. Organization / Entity Details

Occupation / Profession

Profile Picture

🧑‍💼

Click to upload photo

JPG, PNG (Max 3MB)

Company / Business Name *

Company Email

🏛️ Government / Public Sector Client: Please provide the official entity details for procurement and compliance purposes.

Ministry / Government Department *

Department / Unit

Procurement Reference No.

Government Email Address

Organization Name *

Registration Number

Organization Email

Website

5. Physical / Postal Address

Plot / House Number

Street / Area *

City / Town *

Province *

Country

6. Procurement & Compliance

Procurement Method

Tender / Bid Reference Number

7. Services / Project Interest

What services are you interested in? *

Road Construction / Paving Steel Structure Construction Residential Building Commercial Building Renovation / Rehabilitation Civil Engineering Works Structural Design Project Supervision Public Infrastructure Other

Brief Description of Project / Requirements This helps us prepare the appropriate response and documentation.

Estimated Timeline

8. How Did You Hear About Us?

Source *

Referral Name (if applicable)

I confirm the information provided is true and accurate. I consent to A.G.S Civils & Construction Limited contacting me using the details provided. *

I would like to receive updates, newsletters, and notifications from A.G.S Civils & Construction.

📋 Upon submission, you will receive a Client ID for future reference. Our team will review your registration and contact you within 2–3 business days.

✅

Registration Successful!

Welcome to A.G.S Civils & Construction. Your Client ID is:

AGS-CL-2026-001

A confirmation email has been sent to your email address.
You can now sign in to your portal.

Our team will contact you within 2–3 business days.

📞 Need immediate assistance? Call +260 953 505 806

Already have an account? Sign in to your portal →

A.G.S Civils & Construction Limited

📍 Plot No. 401, Dola Hill, Ndola, Zambia

📞 +260 953 505 806 | +260 966 499 535 | 📧 agscivils1@gmail.com

Company Reg No: 120220036394 | ZPPA Registered | "Build With Us!"