This form is lengthy and will require some planning. Please, therefore, print off a copy first. For a printable version, Click Here.
Jina la Mradi:  
Aina:  
Kusudi La Mradi:  
KuanjishaShirika Tekelezi:  
Mwaka wa Kuaanza:  
Unaoendelea:  
Aina ya Mastakimu:  
Umbali kufikia eneoLinalilindwa:  
Uhusiano na eneo Linalolindwa:  
Uhusiano na mamlaka ya Wanyama pori:  
Kiwango cha kukutana naWanyama pori:  
Jina la Shirika la Jamii:  
Tarafa ndogo:  
Wilaya:  
Kadiri ya idadi ya watu:  
Maelekezo kwa kiwanja:  
Mwakilishi:  
Anwani:  
   
   
   
Inchi:  
Simu:  
Nukushi/Fax:  
Barua pepe/Email:  
Nyavuti/Website:  
Wafadhili:  
Historia:  
Shuguli:  
Matatizo:  
Utatuzi:  
Mbeleni:  
Notes:  
Tarehe ya kumbukumbu:  
Jina Lako:  

Mara unapoingiza maelezo yako tafadhali finya kwa uangalifu kabla ya kuituma.

 

Finya hapa kurudi kwenye ukurasa wa kwanza

ACC - P O Box 15289, 00509 - Nairobi - Kenya
Tel/Fax: +254 20 891360 or 891751 - E-mail: info@conservationafrica.org
Fairacres Lane, Off Langata Road, Karen, Nairobi, Kenya.
ACC is a registered Non Governmental Organisation No. OP.218/051/94212/496 in Kenya.
© 1995 - 2006 African Conservation Centre - Design by Web design and development by Web Fundi Ltd.
Contact Us I Terms of Use