Name:
Surnames:
Date of birth:
Place of birth:
Marital status:
Contact address:
E-mail address:
Telephone number:
Fax number:
Studies:
Current work situation:
Nationality:
Current residence :
Period of residence in Andorra:
Other links with Andorra:

Details of the working team:

1. Name and surnames
Area of the project     undertaken *	-- Direcció General Comercial Marketing R+D Finances Administració Controlling Logistic Qualitat Produccio IT Altres
Profile**

2. Name and surnames
Area of the project     undertaken *	-- Direcció General Comercial Marketing R+D Finances Administració Controlling Logistic Qualitat Produccio IT Altres
Profile**

3. Name and surnames
Area of the project     undertaken *	-- Direcció General Comercial Marketing R+D Finances Administració Controlling Logistic Qualitat Produccio IT Altres
Profile**

4. Name and surnames
Area of the project     undertaken *	-- Direcció General Comercial Marketing R+D Finances Administració Controlling Logistic Qualitat Produccio IT Altres
Profile**

5. Name and surnames
Area of the project     undertaken *	-- Direcció General Comercial Marketing R+D Finances Administració Controlling Logistic Qualitat Produccio IT Altres
Profile**

(*) Marketing, I+D, finances...
(**) Technical, manager...


Registered office or place where the project will be tackled (or carried out):

Address:
Town:
Telephone:
Fax:
E-mail address:

How did you find out about the INNOVADORS'12 Programme?

Advice services provided by the ADI

I wish to have the support of a tutor

I wish to attend the Venture Academy training

I wish to benefit from the technical support provided by the ADI

I would like to have access to other kinds of support for the development of my project

The information facilitated in this section will be the only contact data used by the ADI during the stages of the INNOVADORS 12 Programme with the participant.

Name of business and/or title of the project:
("projec"t is understood as the strategic initiative presented to us: a new line of business - creation of a new business - internationalisation...)
Sector of activity of the submitted project

Geographical market (location of clients) Andorra Abroad

Project summary



Creation of the work team
What are your strengths and weaknesses?

I accept the conditions established in these General Conditions .