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THE UNITED REPUBLIC OF TANZANIA

VICE PRESIDENT OFFICE UNION AND ENVIRONMENT

NATIONAL ENVIRONMENT MANAGEMENT COUNCIL


(NEMC)
FORM NO. 8
Made under Regulation 33(1)

APPLICATION FOR PRACTICING PERMIT AS FOREIGN ENVIRONMENTAL


EXPERT

PART A
DETAILS OF THE APPLICANT
1. Name of the Applicant
First Middle Surname

2. Telephone No. /Mobile No.


.………………………………………………………………………………………….
3. E-mail address
…………………………………………………………………………………………..
4. TIN Certificate No. (Attach certified copy)
…………………………………………………………………………………………..
5. Experts Registration certificate No. from state of Origin (Attach certified copies of
certificate)
………………………………………….………………………………………………
6. Nationality
……………………………………….…………………………..……………………..
7. Passport No.
…………………………………………………………………………………………..
8. Work Permit (Attach certified copy)
………………………………………………………………………………….………
9. Name and address of the Proponent/ Developer
………………………………………………………………………………………….
………………………………………………………………………………………….
……………………………………………………………………………………….…
………………………………………………………………………..………………
10. Brief Description of the project applying for.
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
………………………………………………………………………………………….
_________________________________________________________________________________
Headquarters, 35 Regent Street, P.O Box 63154, 11404 Dar es Salaam, Phone: +255 22 2774852;
+255 22 2774889: +255 0713 608930/0735 608930 Fax: +255 22 2774901
Email Address: dg@nemc.or.tz Website: www.nemc.or.tz
11. State the Area(s) of expertise:

Agriculture Fisheries Livestock & Range management


Energy Tourism Land development planning
Irrigation Industry Building & Construction
Oil & Gas Marine Telecommunication
Forestry Mining Waste treatment & disposal
Water resources Wildlife Transport and infrastructure
Manufacturing Others (Specify)

………………………………………………………………………….………………
………………………………………………………………………………………….
………………………………………………………………………………………….
…………………………………………………………………………………………
12. Academic and Professional qualification accredited by Tanzania Commission of
University-TCU (Attach personal CV, related academic certificate, awards,
membership)
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
13. Experience in environmental assessment related activities (attach two recent
abstracts)
………………………………………………………………………………………….
………………………………………………………………………………………….
………………………………………………………………………………………….
………………………………………………………………………………………….
………………………………………………………………………………………….
………………………………………………………………………………………….
14. Previous registration No. in Tanzania (if applicable) (attach a certified copy)
…………………………………………………………………………………………
15. Letter of introduction from the Developer/proponent(attach original letter)

PART B
DECLARATION BY THE APPLICANT AS AN ENVIRONMENTAL EXPERT

I hereby certify that the particulars given above are correct and true to the best of my
knowledge and belief

………………………………………………… ……………………….
Full Names in Block Letter Signature of the Applicant

_________________________________________________________________________________
Headquarters, 35 Regent Street, P.O Box 63154, 11404 Dar es Salaam, Phone: +255 22 2774852;
+255 22 2774889: +255 0713 608930/0735 608930 Fax: +255 22 2774901
Email Address: dg@nemc.or.tz Website: www.nemc.or.tz
PART C
FOR OFFICIAL USE ONLY

Approved/Not approved
…………………………………………………………………………………………
Reasons for disapproval (if not approved)
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………

Registrar: ……………………………….. Signature: …………… Date: …………..

Important Notes:
Please submit the following:
a) Application form in duplicate;
b) Curriculum Vitae of the applicants;
c) Recent Passport size photo; and
d) The prescribed fees
To: -The Registrar
-The National Environment Management Council (NEMC)

Application Reference No. …………………………………………………...........................

Registration No. ……………………………………………………………….........................

_________________________________________________________________________________
Headquarters, 35 Regent Street, P.O Box 63154, 11404 Dar es Salaam, Phone: +255 22 2774852;
+255 22 2774889: +255 0713 608930/0735 608930 Fax: +255 22 2774901
Email Address: dg@nemc.or.tz Website: www.nemc.or.tz

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