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 INDIVIDUAL MEMBERSHIP APPLICATION FORM

FOMU YA MAOMBI YA UANACHAMA WA KIBINAFSI WA ZGI

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

Full Name | Jina Kamili:

Date of Birth | Tarehe ya Kuzaliwa:

Nationality | Uraia:

Gender | Jinsia:

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

Occupation/Professional Role | Kazi/Nafasi ya Kitaaluma:

Educational Background | Elimu Uliyopata:

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

Skills/Expertise relevant to ZGI’s mission | Ujuzi/Utaalamu unaohusiana na lengo la ZGI:

Previous membership in environmental/conservation organizations | Uanachama uliopita katika mashirika ya Mazingira/Uhifadhi:

If yes, specify | Ikiwa Ndiyo, eleza:

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

Any conflict with ZGI objectives? | Je, kuna mgongano wa maslahi?

Have you ever been involved in legal disputes, sanctions, or penalties related to environmental issues? | Je, umewahi kuhusika na kesi za kisheria, adhabu, au vikwazo vinavyohusiana na masuala ya mazingira?

If yes, provide details | Ikiwa Ndiyo, elezea:

Declaration | Tamko:

I declare that all information provided is true, and I commit to act ethically and in alignment with ZGI’s mission.
Ninatamka kuwa taarifa zote zilizotolewa ni kweli, na ninaahidi kutenda kwa maadili na kwa kuendana na lengo la ZGI.

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

Are you aware of health, safety and environmental standards applicable to your activities? | Je, unajua viwango vya afya, usalama na mazingira za shughuli zako?

Have you ever violated health, safety, or environmental regulations? | Je, umewahi kuvunja kanuni za afya, usalama au mazingira?

If yes, provide details | Ikiwa Ndiyo, toa maelezo:

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 UANACHAMA

Why do you wish to join ZGI?

How will you contribute to ZGI’s mission?

Membership Fee | Ada ya Uanachama:

Payment Method | Njia ya Malipo:

Optional Attachments | Viambatanisho Hiari:

Identity Card | Kitambulisho:

Certificates of Experience | Vyeti vya Uzoefu: