EURASIA VENTURES REGISTRATION FORM



CONTACT INFORMATION

Family Name: *
Surname: *
Present Address:
Country:
Tel:
Fax:
e-Mail: *
Homepage:



KEYWORDS DESCRIBING THE EXPERT'S QUALIFICATION
(fields of experience – max. 8 points)

*



WORKING LANGUAGES
(Mark 1 to 5 for competence, where 5 is the highest)

Language Passive Spoken Written



COUNTRY EXPERIENCE
(please name only countries visited on professional purposes):




CLIENTS
(please name all previous client organisations)




AVAILABILITY

Short-Term Missions Yes No
Long-Term Missions Yes No