Annex II: Information sheet on translator/reviser

1.PERSONAL DETAILS

Where there are several surnames and/or first names, please underlinethe one(s) most commonly used.Title

: MR / MS

Surname: .........................................................................................................................

First name: .........................................................................................................................

2.UNIVERSITY DIPLOMA OBTAINED

Establishment: .........................................................................................................................

Degree

: ........................................................................................................................

Year obtained: .........................................................................................................................

3.SOURCE LANGUAGES COVERED

I am capable of translating from the following source languages:

.

4.ADDITIONAL QUALIFICATIONS, e.g. certificates, sworn translator, etc.:

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5.PROFESSIONAL EXPERIENCE:

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.....................................................................................................................................................The Contracting Authority reserves the right to request evidence confirming any information provided in this information sheet.