Quest netceng plus

1. QUESTIONNAIRE FOR TEMPUS NETCENG – Plus AGREEMENT
Project Management: ECM Office, Berlin, dr.-ing. A. Sterenharz
Dear NETCENG-Plus’s participant,
please fill in the following questionnaire in English and/or Russian and send back to the Project Manager.
1
Arnold Sterenharz ▪ ECM Space ▪ Tel.: +4930577055200 ▪ Fax: +4930577055201▪ Mobil.: +49 176 401 55 832
E-Mail: arnold.sterenharz@ecm-office.de ▪ www.ecm-office.de
A1. Organisation
1.  Full name of the organisation
 Acronym
2. Registered address:
 street, house Nr.,
 Post code, Town,
 Region/ Country
 Web page
 Phone /Fax number
3. Short description the profile of the Organization (capacities,
experience, international relations...)
Please present this
information in a separate file.
A2. Contact person (Контактное лицо)
1 Title (Dr., Prof., Mrs, Ms, Mr.)
2 Family name, First name (Ф.И.О)
3 Position
4 E-Mail
5 Office Tel.
6 Mobil. Tel.
7 SKYPE name
8 Автобиография контактного лица/ Curriculum vitae of Contact Person
Please present this information in a separate file.