____ PARTNER INFORMATION of YOUR INSTITUTION / SCHOOL / CENTER

National Agency Identification Organization full legal name(national language) Organization full legal name( Latin characters) Scope (regional,local,international,national) Legal status (public or private) Size (staff) Size ( pupils) Legal adres Postal code City Country Region Telephone1 Telephone2 Fax E-mail Website School ( Primary,Secondary, High)

____ PART 3 ABOUT CONTACT PERSON OF YOUR INSTITUTION / SCHOOL / CENTER

Title (Mr , Mrs, Language Teacher, Director etc..) First Name Family Name Department Position Telephone1 Telephone2 Mobile Fax Email

____ PART 4 ABOUT LEGAL REPRESENTATIVE OF YOUR INSTITUTION / SCHOOL / CENTER

Title (Head Teacher, Principle, ) First Name Family Name Department Position Telephone1 Telephone2 Mobile Fax Email