Journalist Accreditation Form

Personal Information

Title*

Full Name*

Date of Birth*

Place of Birth*

Sex*

Male

Female

Nationality*

Passport No*

Passport Date of Expiry*

Place where Passport was Issued*

Phone*

Email*

Employer Details

Designation*

Employer*

Employer Address*

Employer Phone*

Employer Email*

Employer Cell

Country you are based*

Assignment Information

Is this your first time in Zimbabwe?*

Yes

No

If no, when was your last visit?

Medium of Communication

Print

TV

Radio

Online

Other

If other, please specify

Provide details on the assignment to be covered in Zimbabwe (Briefly)*

Details in Zimbabwe

Address in Zimbabwe (if available)

Phone in Zimbabwe (if available)

Email in Zimbabwe (if different)

Mobile in Zimbabwe (if available)

Arrival Information

Expected Date of Arrival*

Mode of Transport*

Port of Entry*

Expected Date of Departure*

Supporting Documents

Upload Passport Bio Page (2 MB Max)*

Upload Passport Size Photo (2 MB Max)*

Upload Letter from Employer (2 MB Max)*

Press card from country of origin (2 MB Max)*

Equipment Information

Type

Make & Model

Value (USD)

Serial Number

Ministry of Information, Publicity & Broadcasting Services