datacard management board 1

DATA CARD (Individual)

Data concerning individual proposed to be member of the Management Board of: [Name of company] 

Surname                                              :

First names in full                  :

Office address                                    :

Office telephone                                :

Office telefax                                       :

Private address                                   :

Occupation                                         :

Place of birth                                       [ENDE DER VORSCHAU]