ZanGreen Initiative

ZANGREEN INITIATIVE

O R G A N I Z A T I O N

Phone: +255654 849 234 | 788 979 703 | 786 553 639

Email: info@zangreen.co.tz | Site: www.zangreen.co.tz

Instagram: zangreeninitiative | TikTok: zangreeninitiative

ZGI ASSOCIATION/GROUP MEMBERSHIP APPLICATION FORM

FOMU YA MAOMBI YA UANAJUMUIYA/KIKUNDI WA ZGI

SECTION A: BASIC INFORMATION | SEHEMU A: TAARIFA ZA MSINGI

Association/Group Name | Jina la Jumuiya/Kikundi

Registration No | Na. ya Usajili

Registered Year | Mwaka Iliyosajiliwa

Post Code | Posta

Physical Address | Anwani

Mobile | Namba ya Simu

Email | Barua Pepe

Social Media | Mitandao ya Kijamii

Other | Nyingine

SECTION B: PROFILE & BACKGROUND | SEHEMU B: WASIFU NA HISTORIA

Type of Association/Group | Aina ya Jumuiya/Kikundi

Nature of Activities | Asili ya Shughuli

Experience in Environment, Conservation or Agriculture | Uzoefu katika Mazingira, Uhifadhi au Kilimo

Number of Association/Group Members | Idadi ya Wanachama wa Jumuiya/Kikundi chako:

F: M:

Key Achievements or Projects relevant to ZGI’s mission | Mafanikio Makuu au Miradi inayohusiana na malengo ya ZGI

SECTION C: ANTI-CONFLICT OF INTEREST | SEHEMU C: KUZUIA MZOZO WA MASLAHI

Is your Association/Group involved in any activity that could conflict with ZGI’s objectives? | Je, Jumuiya/Kikundi chako kina shughuli yoyote inayoweza kuathiri malengo ya ZGI?

Conflict of Interest, if any | Mzozo wa Maslahi, ikiwa ipo

Has the Association/Group ever been involved in legal disputes, sanctions, or penalties related to environmental issues? | Je, Jumuiya/Kikundi chako kilihusishwa na kesi za kisheria, adhabu au vikwazo vinavyohusiana na masuala ya mazingira?

Legal disputes, sanctions or penalties if any | Kesi za kisheria, adhabu au vikwazo ikiwa ipo

I declare that all information provided is true and I will act ethically | Nimehakikisha taarifa zote ni kweli na nitafuata maadili

SECTION D: SAFETY & SECURITY | SEHEMU D: USALAMA NA TAHADHARI

Is the Association/Group aware of health, safety, and environmental standards? | Je, Jumuiya/Kikundi chako kinajua viwango vya afya, usalama na mazingira?

Has the Association/Group ever violated health, safety, or environmental regulations? | Je, Jumuiya/Kikundi chako kilivunja kanuni za afya, usalama au mazingira?

Does the Association/Group have insurance or risk mitigation measures? | Je, Jumuiya/Kikundi chako kina bima au mbinu za kupunguza hatari?

Are you willing to comply with ZGI’s safety guidelines during activities? | Je, uko tayari kufuata miongozo ya usalama ya ZGI wakati wa shughuli?

SECTION E: MEMBERSHIP COMMITMENT | SEHEMU E: AHADI YA UANAJUMUIYA/KIKUNDI

Why does your Association/Group wish to join ZGI? | Kwa nini Jumuiya/Kikundi chako kinataka kujiunga ZGI?

How will your Association/Group contribute to ZGI’s mission? | Jumuiya/Kikundi kitatengenezaje michango kwa malengo ya ZGI?

Membership Fee | Ada ya Uanachama

Payment Method | Njia ya Malipo

Signature | Sahihi

Date | Tarehe

Optional Attachments | Viambatanisho Hiari

Certificate of Registration / Cheti cha Usajili: Organizational Chart | Muundo wa Chama: Proof of Previous Projects | Vyeti vya Miradi ya Awali: Board Resolution approving application | Azimio la Bodi:

ZANGREEN INITIATIVE

ZGI ASSOCIATION/GROUP MEMBERSHIP APPLICATION FORM

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