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 ORGANIZATION/INSTITUTE MEMBERSHIP APPLICATION FORM

FOMU YA MAOMBI YA UANACHAMA WA SHIRIKA/TAASISI KWA ZGI

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

Organization/Institute Name | Jina la Shirika/Taasisi:

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 Organization/Institute | Aina ya Shirika/Taasisi:

Nature of Activities | Asili ya Shughuli:

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

Number of Organization/Institute Members | Idadi ya Wanachama wa Shirika/Taasisi yako:

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 Organization/Institute involved in any activity that could conflict with ZGI’s objectives? | Je, Shirika/Taasisi yako kina shughuli yoyote inayoweza kuathiri malengo ya ZGI? If yes, explain | Ikiwa Ndiyo, eleza:

Has the Organization/Institute ever been involved in legal disputes, sanctions, or penalties related to environmental issues? | Je, Shirika/Taasisi yako kilihusishwa na kesi za kisheria, adhabu au vikwazo vinavyohusiana na masuala ya mazingira? If yes, explain | Ikiwa Ndiyo, eleza:

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

Is the Organization/Institute aware of health, safety, and environmental standards? | Je, Shirika/Taasisi yako kinajua viwango vya afya, usalama na mazingira?

Have you ever violated health, safety, or environmental regulations? | Je, Shirika/Taasisi yako kilivunja kanuni za afya, usalama au mazingira?

Does the Organization/Institute have insurance or risk mitigation measures? | Je, Shirika/Taasisi yako kina bima au mbinu za kupunguza hatari?

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

SECTION E: MEMBERSHIP COMMITMENT | SEHEMU E: AHADI YA UANASHIRIKA/TAASISI

Why does your Organization/Institute wish to join ZGI? | Kwa nini Shirika/Taasisi yako kinataka kujiunga ZGI?

How will your Organization/Institute contribute to ZGI’s mission? | Shirika/Taasisi 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 kuidhinisha maombi:

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.

ZANGREEN INITIATIVE

ZGI ORGANIZATION/INSTITUTE MEMBERSHIP APPLICATION FORM

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