DOCUMENT ID: SCL/OUT/TCDP/2026/02

SHIMULIMULI COMPANY LIMITED

Field Data Collection & Supervision Form

Tanzania’s Traditional Culture Data Profiling Project — 2026

Focus Areas: Traditional Foods, Indigenous Medicine, and Traditional Technology Systems

1. Identification & Team Information

Awaiting Photo...

Officer Passport Photo *

Required: Standard 2x2 or 3x4 aspect ratio (.jpg or .png)

Full Student Name

Student ID Number

Institution

Academic Program

Supervisor Name

Region

District

Village / Ward

Date of Collection

Start Time

End Time

GPS Coordinates

Nearest Landmark

Accessibility Details

Security Level

Full Legal Name

Age

Gender

Ethnic Community (Tribe)

Primary Occupation

Knowledge Authority Role

Years of Practice

Official Consent Verified?

TRADITIONAL FOODS INDIGENOUS MEDICINE TRADITIONAL TECHNOLOGY CULTURAL PRODUCTION

Name of Item / Practice

Local Dialect Name

Ingredients / Raw Materials

Step-by-Step Preparation / Process

Final Approval Status

Data Accuracy Level (%)