Registration as a Lead Expert by NEMA Kenya
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Form 4 (r 14(2)) Application Reference No.:……… For official use THE ENVIRONMENTAL MANAGEMENT AND COORDINATION ACT APPLICATION FOR REGISTRATION AS AN ENVIRONMENTAL IMPACT ASSESSMENT/AUDIT EXPERT Part A: DETAILS OF APPLICANT A1 Name of proponent (Individual or Firm)……………………………………………...…… A2 Nationality………………………………….………...…………………………………….. A3 PIN No.. ………………………………………...………………………..……………… A4 Firm (Local / Foreign)………………………….………..………………………………… A5 Business registration No(where applicable)……………………………Date…….………….……. A6 Address ……………………………………………………….…………………………… A7 Telephone No. …………………………………A8 Fax No. ………………..………… A9 E-mail . ………………………………………………………………………..….……… A10 Applicants academic / professional qualifications:………..……...……………..………… …………………………………………………………………………..………………… A11 List of professionals and their academic/professional qualifications and their nationalities (where applicable)…………………………………………………………………………….…… …………………………………………………………………….……………………….. ……………………………………………………………………………………………… A12. Experience in Environmental Impact Assessment related activities……………………… ………………………………………………………………………………………….… ……………………………………………………………………………………………… ……………………………………………………………………………………………… A13. Application for license to practice as Lead Expert or Associate Expert………… A14. Previous registration No. and date of registration (if applicable)………………………… Part B: DECLARATION BY APPLICANT B1: I hereby certify that the particulars given above are correct and true to the best of my knowledge and belief ………………………….. …………………………… ……………………… Signature of applicant Full Name in Block letters Position On behalf of……………………………………………… …………………………………
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Form to be filled when applying for Registration as a Lead Expert according to EMCA 2003
Transcript of Registration as a Lead Expert by NEMA Kenya
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Form 4 (r 14(2))
Application Reference No.:
For official use
THE ENVIRONMENTAL MANAGEMENT AND COORDINATION ACT
APPLICATION FOR REGISTRATION AS AN ENVIRONMENTAL IMPACT
ASSESSMENT/AUDIT EXPERT
Part A: DETAILS OF APPLICANT
A1 Name of proponent (Individual or Firm)...
A2 Nationality......
A3 PIN No.. .....
A4 Firm (Local / Foreign)...
A5 Business registration No(where
applicable)Date...
A6 Address .
A7 Telephone No. A8 Fax No. ..
A9 E-mail . ...
A10 Applicants academic / professional qualifications:.......
..
A11 List of professionals and their academic/professional qualifications and their nationalities
(where
applicable).
...
A12. Experience in Environmental Impact Assessment related activities
.
A13. Application for license to practice as Lead Expert or Associate Expert
A14. Previous registration No. and date of registration (if
applicable)
Part B: DECLARATION BY APPLICANT B1: I hereby certify that the particulars given above are correct and true to the best of my knowledge and belief .. Signature of applicant Full Name in Block letters Position On behalf of
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Firm Name and seal Date Part C: FOR OFFICIAL USE
Approved /Not approved
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Comments
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OfficialSignDate.
Important Notes: Please Submit the following
(a) Application Form in duplicate; (b) curriculum vitae of all applicants; and (c) the prescribed fee, to:
Director General The National Environment Management Authority (NEMA) Kapiti Road, South C P.O. Box 67839 -00200
NAIROBI, KENYA
Tel. 254-020-605522/6/7 601945 Fax. 254-020-608997 E-mail: [email protected]@nema.go.ke
ADDITIONAL REQUIREMENTS In addition to the above, applicants are required to submit the following:
1. Photocopies of academic certificates 2. Photocopies of payment receipts (pay to NEMA Accounts office in Block A- building
next to car park) 3. To register a Firm of Experts, at least one of the experts must be registered with NEMA
as a Lead Expert.
APPLICATION FEES Kshs. Kshs. Citizen Non-Citizen
a) Lead Expert 5,000 15,000 b) Associate Expert 3,000 9,000 c) Firm of Experts 20,000 60,000
ANNUAL LICENCE APPLICATION FEE
Kshs. Kshs. Citizen Non-Citizen
a) Lead Expert 5,000 15,000 b) Associate Expert 3,000 9,000 c) Firm of Experts 20,000 60,000
GPK(L)
THE ENVIRONMENTAL MANAGEMENT AND COORDINATION ACT Part B: DECLARATION BY APPLICANT NAIROBI, KENYA ADDITIONAL REQUIREMENTS APPLICATION FEES
