COMPANY DATA
Registered Address an Type of organization:
Full legal name	Organizationn Id. Number
Address
City	Postcode
Country	Region
Type of organisation*	un elemento.
Economic Sector and Subsector*	Elija un elemento.
Legal Status*	Elija un elemento.	Scope *Elija un elemento.
Commercial orientation*	Elija un elemento.	Size *Elija un elemento.
Website
General description of the organisation
Contact person:
First name	Surname	Gender* Elija un elemento.
Position	Department
Telephone	Mobile
E-mail	Fax
Candidate profile:
Name of the candidate
Studies/Degree
Language knowledge	Other skills
Duration	Weeks	Starting date: From To
Description of tasks
Area of study *Elija un elemento.
Remuneration by the Host Organization:
In Euros or local currency *Elija un elemento.	Others* Elija un elemento.

Date of signature (Sign and stamp)

Name and Surname of signing person and its position