The Director General Port Manager *
Tanzania Harbours Authority,
DAR ES SALAAMTANGAMTWARA

A. TYPE OF SERVICES REQUIRED:

on: Date:   Time:

A.1. Media Material Port Visit (please select one )

in Photography Video or Film (please select appropriate )

A.2. Purpose of visit/Areas of Activity:*

B. PARTICULARS OF APPLICANT:

B.1. Name of Applicant/Institution/Activity Supervisor*: MrMrsMissM/s*:

B.2. Designation:

B.3. Nationality:
B.4. Passport/ID. No.:

B.5. Issued by: B.6. Date of Issue: .

B.7. Postal Address:

B.8. Physical Address:

B.9. Telephone(s):