Govenment Chemist Laboratory Agency, Ocean Road /Luthuli Road, P.O Box 164, Dar es Salaam Tel. No.: +255 22 2113383/4 Fax No.: +255 22 2113320 e-mail: gcla@gcla.go.tz
|
|
|
Form TCS 03
Name of Institution: .................................................................................
Address: .............................................................................................
.............................................................................................
Phone: .................... Fax ........................... e-mail: .........................
Nature of business of your organisation:
....................................................................................................................................................................................................................
Qualified chemists under employment by your organisation (numbers only):
B.Sc. ....................M.Sc. .........................Doctorate. ...............................
This organisation is willing to become an INSTITUTIONAL MEMBER of the Tanzania Chemical Society and to support its activities.
We enclose a money order for TZS 200,000/= registration fees plus TZS 350,000/= annual subscription payable to the Tanzania Chemical Society.
We enclose postage stamps amounting to TZS 2,500/= as mailing costs for the membership certificate and the TCS constitution.
..................................................................................(name of institution)
Name of Head of the institution: ..................................................................
Signature of Head of the institution: ......................................................
Date: ............................................................
| Address: P.O Box 164 Dar es Salaam |
Phone: Tel. No.: +255 22 2113383/4 Fax No.: +255 22 2113320 e-mail: gcla@gcla.go.tz |
Bankers: NBC (1997) Ltd. Mlimani Branch P.O. Box 35181 Dar es Salaam |