REGISTRATION FORM FOR ESTABLISHMENT OF NEW BCM-NETWORKS

CHOSEN NAME OF THE NETWORK

CENTRAL NETWORK INSTITUTION:
   
   
   
   
   

5.2 LEGAL REPRESENTATIVE AND LEGAL ADDRESS OF THE CENTRAL NETWORK ORGANISATION
   
   
   
   
Legal Address of the institution  
   
   
   
   
   

NAME AND CONTACT ADDRESS OF THE CENTRAL MODULE COORDINATOR
   
   
   
   
   
   
   
Telephone (including country and area code)
Fax (including country and area code)
E-mail  

Statement on Entrepreneurship