| Name: |
|
| Address: |
|
| Address
Line 2: |
|
| City: |
|
| State/Province
(if applicable): |
|
| Country: |
|
| Chief: |
|
| Date of
Birth: |
- - |
| Sex: |
Male Female |
| I am a
permanent resident of Zambia: |
|
| I am a
citizen of: |
|
| Occupation: |
|
| I belong
to a ZANOBA branch: |
|
| Highest
level of education completed: |
|
|
| |
Choose ONLY one Documentation and
Validation
Team below in which you are most interested:
|
| Documentation, Validation,
Consultancy, and Advisory Team |
|
| Publications, Media, and Journal of
Zambian Culture and Technology Team |
|
| Medicine, Health, Hygiene and
Healing Team |
|
| Music, Dance, Theater, and the Arts
Team |
|
| Education, Youth, Games, and Sports
Team |
|
| Agriculture, Food, and Nutrition,
Business and Economics Team |
|
| Religion, Language, Mythology, and
Folktales Team |
|
| Family, Marriage, Kinship, and
Genealogy Team |
|
| History, Politics, Libraries,
Archives, Museums, and Artifacts Collection Team |
|
| Housing, Bridges, and Construction
Team |
|
| Natural Resources, Innovation,
Science and Technology Team |
|
| |
Membership Fee 20 US dollars (for
cost of Newsletter for a year).
Make Check Payable to: ZANOBA.
Print out
this form and mail it with a check to:
Dr. Mwizenge S. Tembo
President; ZANOBA International
Bridgewater College
Bridgewater, VIRGINIA 22812 USA
OR
Mr. Boyd Muyanga
Publicity Secretary;
Zambia Knowledge Bank International
P.O. Box 530363, LUSAKA, ZAMBIA
SIGNATURE OF
APPLICANT:_____________________
DATE:_________________
|
