Trade mission to Tatarstan (Russia)

26th - 29th September 2012

Please kindly fill out this form in English and return it
before the 7th September 2012 to the
Chamber of Commerce of the Grand Duchy of Luxembourg
International Department
Phone: +352 42 39 39 – 360 Fax: +352 43 83 26 E-mail:
Contact person: Mr Niels Dickens / Ms Diana Rutledge

COMPANY PROFILE

Company name:
Address:
Zip code: / L-
City:
Phone:
Fax:
E-mail:
Website:
Company form:
Date of establishment:
Capital:
Number of employees:

PARTICIPANT (1)

Family name:
First name:
Position:
Date of birth:
Passport n°:
Nationality:
Mother tongue:
Other languages spoken:
Cell phone n°:

PARTICIPANT (2)

Family name:
First name:
Position:
Date of birth:
Passport n°:
Nationality:
Mother tongue:
Other languages spoken:
Cell phone n°:

DESCRIPTION OF THE COMPANY’S ACTIVITIES

Type of company: /  Manufacturer
 R&D /  Agent / Distributor
 Service company /  Other:
Branch offices /  Yes /  No / Number: ______
Part of a group /  Yes /  No / If yes, which group: ______
Description de the company’s activities (products, services and technologies):
Main clients:
Main suppliers:
Main competitors:
Are your products / services subject to any international standards? /  No
 Yes. Please specify: ______

ACTIVITIES IN RUSSIA

Existing contacts or activities undertaken in Russia:
 Yes /  No
If yes, please describe the activities or contacts (names):

Which activities would you like to develop in/with Russia?

(imports, exports, establishing a company, offering services, …)
What are the main objectives of your participation

CO-OPERATION PROFILE

Profile of contacts that you are looking for:
 End customers /  Commercial intermediaries (importers, distributors,…)
 Industrial partnership or co-operation /  Manufacturing agreement (licence, patents)
 Partners for a joint-venture /  Partners for technology transfer
 Other:______
Detailed description of the selection criteria for the requested contacts
(if available, please indicate the names of companies (including their contact data) you would like to meet)
During the trade mission, an official reception will be organised.
Please indicate below the names and addresses of the persons (clients, suppliers, business partners or other) that you would like to invite to these events:
Please note that the address and e-mail address of your contacts must be mentioned.
Company
/
Name
/
Surname
/
Address
/
Zip Code
/
City
/
Fax
/
E-mail

The Chamber of Commerce will publish a brochure containing all participants’ company profiles. The brochure will be published in English and Russian. Please insert below a description of your company’s activities in English (and if possible in Russian) and send us by e-mail your company’s logo as well as the company representative’s passport photo.

This information will be included in the official brochure if we receive it before September 7, 2012
Company description (max. 20 lines / 250 words per language)

Name:______Date: ______Signature: ______

3

______

Trade mission to Russia (Tatarstan), 26th – 29th September 2012