Application form

Please fill in the questionnaire below and send it to your Regional Administrator (this can be done automatically at the end of the form).

Attention: the "name", "first name" and "city" fields must be filled in using non-accentuated ascii characters.

Applicants are reminded that in order to be admissible they must comply with Inttranet Selection Criteria.

In addition to the information requested in the questionnaire, please send by fax to your Regional Administrator the items listed below:
- your standard curriculum vitae,
- a letter of recommendation from a professional colleague.

The applicant certifies the authenticity of the information provided. Any statement found to be false will automatically entail the rejection of the application and in certain cases, in particular that of a false tax identification number, may be liable to prosecution.

* Fields marked with an asterisk indicate the information requested is compulsory.

Civil status

Name *

First name *

Maiden name

Middle name

Place of birth *    

Street *

City *

Postal code *

Country *

Nearest regional capital *

Mobile + country code

Office tel. + country code

Fax + country code

E-mail *

Internet site

Company

Nb of in-house interpreters.

Address (if different from above)

Nb of in-house translators

Languages

 
Mother tongue *


B*

C

D

Working language(s)



Extinct language(s)

     


Field(s) of expertise

Field of expertise 1 *

Years of experience*

References *

Field of expertise 2

Years of experience

References

Field of expertise 3

Years of experience

References

Field of expertise 4

Years of experience

References

Field of expertise 5

Years of experience

References

Field of expertise 6

Years of experience

References



Services

Translator

Certified translator

Conference Translator

Interpreter

Certified Interpreter

Conference interpreter

 

Signed language Interpreter

Consultant interpreter

 

Reviser

Community Interpreter

Sub-titler

Film Dubber

 

Terminologist

Project manager

Other services

Other activities




Resources

PC

Linux

Unix

MAC

Other

Software
(press the Ctrl key
to select other software systems)

Translation memory software

webcam

Data banks



Start date of professional activity

*



Academic qualification(s)

Title of diploma *

Name of institute *

Country *

Year of award *



Certification

Name of authority

Year of award

Professional affiliation

 
(press the Ctrl key
to select other software systems)

 


Recommendation

Please indicate the name of the Inttranet Member who recommended the network to you.
Name First name
Middle name  
WARNING: Please check your sponsor's CV to ensure their name is correctly spelt.


Type and place of swearing-in

 Name of authority

 Type of oath

Year of award



Civil liability :
- Name of insurance co.
- Policy no.
- Expiry date
- Value of insurance coverage

 

   
Employee ID no.

   

Trade reg. no.

VAT *

International Tax Identification Number (VAT)



Academic qualifications of reviser

Name of reviser

   

Title of diploma

Date of award

Name of Institute