PARTNER IDENTIFICATION FORM

A. PARTNER ORGANISATION
Organisation ID
Full legal name (National Language)
Full legal name (Latin characters)
Acronym
National ID (if applicable)
Department (if applicable)
Address (Street and number)
Country
Region
P.O. Box
Post Code
CEDEX
City
Website
Email
Telephone 1
Telephone 2
Fax
B. PROFILE
Type of Organisation
Is the partner organisation a public body? No?
Is the partner organisation a non-profit? No ?
C. LEGAL REPRESENTATIVE
Title
Gender
First Name
Family Name
Department
Position
Email
Telephone 1
Address
Country
Region
P.O. Box
Post Code
CEDEX
City
Telephone 2
D. CONTACT PERSON
Title
Gender
First Name
Family Name
Department
Position
Email
Telephone 1
Address
Country
Region
P.O. Box
Post Code
CEDEX
City
Telephone 2
E. BACKROUND AND EXPERIENCE
What are the organisation's main activities? (1000 characters)

What are the organisation's activities in the field of this application? * (1000 characters)

What profiles and age groups of learners are concerned by the organisation’s work? * (1000 characters)

How many years of experience does the organisation have working in the field of this application? *
etc
Would you like to make any comments or add any information to the summary of your organisation’s past
participation? (3000 characters)