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NATIONAL ENVIRONMENT TRUST FUND
GREEN INNOVATIONS AWARD
Promoting Green Growth
ENTRY FORM
GREEN INNOVATIONS AW
Pro
GREEN INNOVATIONS AWGREEN INNOVATIONS AWARD
g Green Growth
REF NO:
PLEASE NOTE THAT ALL QUESTIONS MARKED WITH A *MUST BE ANSWERED
Please type or write clearly using CAPITAL LETTERS only.
A.1 PRIMARY CONTACT PERSON
*Full Names (Surname, Middle Name, First Name): __________________________________________
*Gender Female Male
* National ID Number: ________________________________________
Email Address: _______________________________________
*Mobile Phone_____________________________ Other Phone: _______________________________
*Postal Address ____________________________ Physical Address_______________________________
*How did you hear about the NETFUND Green Innovations Award? (Tick as appropriate)
Media: Radio T.V Newspaper/Magazine NETFUND Website
Social Media: Facebook Twitter
Other: _____________________________________
A.2 OTHER CONTACT PERSON
*Full Names (Surname, Middle Name, First Name): __________________________________________
Email Address: _______________________________________
*Mobile Phone _______________________________________
SECTION A: PERSONAL INFORMATION
NYAMERI MOMANYI
EDWARD
11134806
bkmokamba@gmail.com
+254712660373
58119-00200
EJELN
Melost.com
B PROJECT INFORMATION
Are you applying on behalf of an organisation? Yes No
If yes, please state the name of the SME, CBO, Women’s Group or Company
________________________________________________________________________________________
If No, go to Section B1
Is your organisation registered?
Yes No
If yes, attach the registration documents.
B.1 NAME AND LOCATION OF THE PROJECT
*What is the name of your project? ______________________________________________________
* Where is the project located? County_____________ Sub County_____________________________
Ward___________________________ Village_________________________
B.2 ENVIRONMENTAL AREAS
* What area of the environment does your project deal with? Select one
Energy Water Agri-business Waste Management
ENTRY CATEGORY
*Select an Entry Category.
Individual Primary School Secondary School Women Group
Small and Medium Sized Enterprises Civil Society Organisation
SECTION B: PROJECT INFORMATION
WIDOWS DEVELOPMENT KENYA
INTERNATIONAL
Bio-slurry derived organic fertiliser processing
project
KISIJ
NYABOTERERE
KIOGORO
C *PROJECT DESCRIPTION
C.1 What is the status of the project? Idea Ongoing
C.2 Give a brief summary of your project? (State the problem the project is addressing)
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
D *SOCIAL AND ENVIRONMENTAL BENEFITS?
D.1 Who is benefiting from the project?
-----------------------------------------------------------------------------------------------------------------------------
D.2 How does the community benefit from the project?
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
D.3 How is your project good for the environment?
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
E *COMMERCIAL VIABILITY
E.1 Please describe what you sell or offer as a service or a product
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
E.2 Do you have any customers/Have you made any sales?
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
F *ORIGINALITY
F.1 Briefly describe how your project is different from other existing projects.
-----------------------------------------------------------------------------------------------------------------------------
The project aims to address the scarcity of soil
enriching afordable fertilisers for the
improvement in agro~forestry related activities
Basicaly the major end users in my community
that is peasantry in nature are the widows and
single parents who have limited or no source
of income
The project is good for the environment aa the
trees having an enriched base will grow rapidly
and thus the carbon dioxide in the
atmosphere will be at minimal levels
enriched feetiliser inform of a pulverised
form
local farmers
My project is quite different as it tackles the
pronlem of chemically processed deficits and
bring afore a never before mass packaged
cow~dung organic fertiliser
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
G SUSTAINABILITY
G.1 What are your plans for the project in the next five years?
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
G.2 Highlight any experience or skills that you possess that have helped you in your project.
-----------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------
__________________________________________________________________________________________
H SUBMISSION INSTRUCTIONS:
You may submit your application in one of the following ways:
 Email to gia@netfund.go.ke
 An online application through the NETFUND website www.netfund.go.ke
 Collect and submit a hardcopy at the nearest offices of Kenya Wildlife Service (KWS), Kenya
Forest Service (KFS), Women Enterprise Fund (WEF), National Environment Management
Authority (NEMA), or the nearest Post Office. Please list “NETFUND Green Innovations Award”
as the receiver and include the phone number +254 (0) 20 236 9563/4.
You can also submit your application directly to National Environment Trust Fund (NETFUND)
Geomaps Centre, 7th Floor, Matumbato Road, Upper Hill, P.O. Box 19324, 00202, Nairobi Kenya.
DEADLINE: Entry forms will be accepted up to 30th January 2016. Late entries will not be
accepted nor acknowledged.
For official use only
Received by: Name……………………………………………………
Date………………….Signature…………………………….……..
Official Stamp
Within the five year forecast the project would
have catered for the sustainability ecomical
advancement of the widows i initiated the
project in mind
I am capacity builder community based total
quality management(TQM)oriented.
i was from 1994~1999
a Quality Inspector at Orbit Chemical
Industries Ltd
In submitting the entry form I/We hereby declare as follows:
a) I/We have entered the project under one category and theme only.
b) I/We understand that all entrants agree to be bound by the decisions of the judges and that no
correspondence, telephone, email or communication of any kind will be entered into in relation
to decisions reached.
I/ We certify that all details entered in the form are a truthful representation of my/our involvement
in the project. All material submitted in support of the entry is my/our original work and does not any
way infringe on the proprietary rights of a third party.
Name………………………………………….Date……………………………
Signature………………………………………
N/B: No signature is necessary if the form is submitted electronically
SECTION C: DECLARATION
Edward M.Nyameri
24/Jan/2016
LOOKING FOR WAYS TO BE
Innovative with your business?
We’ve got the right books
to take you all the way!
• Ideal for practising business owners,
students and general readers.
For more information, Contact the GM, Sales and Marketing;
The Jomo Kenyatta Foundation, 51 Enterprise Road, Industrial Area,
P.O. Box 30533-00100, Nairobi, Kenya.
Fax: 6531966, Tel. (020) 3583925, 2330003.
Cell phones: 0723969793, 0723 286993, 0735 339135.
Educational Publishers
JKF Book Distribution Centre:
Kijabe Street, Tel: (02) 8155454, 2224499/312645
Website: www.jkf.co.ke, Email: info@jomokenyattaf.com

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Net fundrevisedentryformfinal

  • 1. NATIONAL ENVIRONMENT TRUST FUND GREEN INNOVATIONS AWARD Promoting Green Growth ENTRY FORM GREEN INNOVATIONS AW Pro GREEN INNOVATIONS AWGREEN INNOVATIONS AWARD g Green Growth REF NO:
  • 2. PLEASE NOTE THAT ALL QUESTIONS MARKED WITH A *MUST BE ANSWERED Please type or write clearly using CAPITAL LETTERS only. A.1 PRIMARY CONTACT PERSON *Full Names (Surname, Middle Name, First Name): __________________________________________ *Gender Female Male * National ID Number: ________________________________________ Email Address: _______________________________________ *Mobile Phone_____________________________ Other Phone: _______________________________ *Postal Address ____________________________ Physical Address_______________________________ *How did you hear about the NETFUND Green Innovations Award? (Tick as appropriate) Media: Radio T.V Newspaper/Magazine NETFUND Website Social Media: Facebook Twitter Other: _____________________________________ A.2 OTHER CONTACT PERSON *Full Names (Surname, Middle Name, First Name): __________________________________________ Email Address: _______________________________________ *Mobile Phone _______________________________________ SECTION A: PERSONAL INFORMATION NYAMERI MOMANYI EDWARD 11134806 bkmokamba@gmail.com +254712660373 58119-00200 EJELN Melost.com
  • 3. B PROJECT INFORMATION Are you applying on behalf of an organisation? Yes No If yes, please state the name of the SME, CBO, Women’s Group or Company ________________________________________________________________________________________ If No, go to Section B1 Is your organisation registered? Yes No If yes, attach the registration documents. B.1 NAME AND LOCATION OF THE PROJECT *What is the name of your project? ______________________________________________________ * Where is the project located? County_____________ Sub County_____________________________ Ward___________________________ Village_________________________ B.2 ENVIRONMENTAL AREAS * What area of the environment does your project deal with? Select one Energy Water Agri-business Waste Management ENTRY CATEGORY *Select an Entry Category. Individual Primary School Secondary School Women Group Small and Medium Sized Enterprises Civil Society Organisation SECTION B: PROJECT INFORMATION WIDOWS DEVELOPMENT KENYA INTERNATIONAL Bio-slurry derived organic fertiliser processing project KISIJ NYABOTERERE KIOGORO
  • 4. C *PROJECT DESCRIPTION C.1 What is the status of the project? Idea Ongoing C.2 Give a brief summary of your project? (State the problem the project is addressing) ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- D *SOCIAL AND ENVIRONMENTAL BENEFITS? D.1 Who is benefiting from the project? ----------------------------------------------------------------------------------------------------------------------------- D.2 How does the community benefit from the project? ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- D.3 How is your project good for the environment? ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- E *COMMERCIAL VIABILITY E.1 Please describe what you sell or offer as a service or a product ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- E.2 Do you have any customers/Have you made any sales? ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- F *ORIGINALITY F.1 Briefly describe how your project is different from other existing projects. ----------------------------------------------------------------------------------------------------------------------------- The project aims to address the scarcity of soil enriching afordable fertilisers for the improvement in agro~forestry related activities Basicaly the major end users in my community that is peasantry in nature are the widows and single parents who have limited or no source of income The project is good for the environment aa the trees having an enriched base will grow rapidly and thus the carbon dioxide in the atmosphere will be at minimal levels enriched feetiliser inform of a pulverised form local farmers My project is quite different as it tackles the pronlem of chemically processed deficits and bring afore a never before mass packaged cow~dung organic fertiliser
  • 5. ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- G SUSTAINABILITY G.1 What are your plans for the project in the next five years? ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- G.2 Highlight any experience or skills that you possess that have helped you in your project. ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- __________________________________________________________________________________________ H SUBMISSION INSTRUCTIONS: You may submit your application in one of the following ways:  Email to gia@netfund.go.ke  An online application through the NETFUND website www.netfund.go.ke  Collect and submit a hardcopy at the nearest offices of Kenya Wildlife Service (KWS), Kenya Forest Service (KFS), Women Enterprise Fund (WEF), National Environment Management Authority (NEMA), or the nearest Post Office. Please list “NETFUND Green Innovations Award” as the receiver and include the phone number +254 (0) 20 236 9563/4. You can also submit your application directly to National Environment Trust Fund (NETFUND) Geomaps Centre, 7th Floor, Matumbato Road, Upper Hill, P.O. Box 19324, 00202, Nairobi Kenya. DEADLINE: Entry forms will be accepted up to 30th January 2016. Late entries will not be accepted nor acknowledged. For official use only Received by: Name…………………………………………………… Date………………….Signature…………………………….…….. Official Stamp Within the five year forecast the project would have catered for the sustainability ecomical advancement of the widows i initiated the project in mind I am capacity builder community based total quality management(TQM)oriented. i was from 1994~1999 a Quality Inspector at Orbit Chemical Industries Ltd
  • 6. In submitting the entry form I/We hereby declare as follows: a) I/We have entered the project under one category and theme only. b) I/We understand that all entrants agree to be bound by the decisions of the judges and that no correspondence, telephone, email or communication of any kind will be entered into in relation to decisions reached. I/ We certify that all details entered in the form are a truthful representation of my/our involvement in the project. All material submitted in support of the entry is my/our original work and does not any way infringe on the proprietary rights of a third party. Name………………………………………….Date…………………………… Signature……………………………………… N/B: No signature is necessary if the form is submitted electronically SECTION C: DECLARATION Edward M.Nyameri 24/Jan/2016
  • 7.
  • 8. LOOKING FOR WAYS TO BE Innovative with your business? We’ve got the right books to take you all the way! • Ideal for practising business owners, students and general readers. For more information, Contact the GM, Sales and Marketing; The Jomo Kenyatta Foundation, 51 Enterprise Road, Industrial Area, P.O. Box 30533-00100, Nairobi, Kenya. Fax: 6531966, Tel. (020) 3583925, 2330003. Cell phones: 0723969793, 0723 286993, 0735 339135. Educational Publishers JKF Book Distribution Centre: Kijabe Street, Tel: (02) 8155454, 2224499/312645 Website: www.jkf.co.ke, Email: info@jomokenyattaf.com