Information form Concorde Group BV Personal details Company name: Surname: Initials: First name: Address: Postcode: City/town: Country: Telephone: Mobile telephone: Fax number: E-mail address: Website: Skype: Date of birth Place of birth and country RBTV-number (Register for sworn translators and interpreters) (if applicable) VAT-number: C of C number: Bank account number: Are you liable to tax in the Netherlands? If you are liable to tax in the Netherlands, what kind of VAR (a declaration of independent contractor status) do you have? Additional information (optional) Availability What is your availability? Are you available for projects outside of office hours (between 20.00-8.00)? Are you available for projects on weekends and holidays? Language background Mother tongue: Country Experience abroad: from to Speciality/Field (choose a maximum of no more than 5-6 fields) Yes/No Relevant schooling, diplomas, courses, experience, institutions Advertising & marketing / commercial Legal Technology general IT (information technology) Banking & Finance Economy Medicine Car industry Electronics Environmental technology Gastronomy Logistics and transport Pharmaceutics Insurance Agriculture Electrotechnology Psychology Cosmetics Mechanical engineering Flora/fauna Medical equipment Interpreters Language combinations for interpreting Working language 1 Working language 2 Working language 3 Working language 4 Working language 5 Interpreting work Type of interpreting work Yes/No If so, since when Relevant schooling, diplomas, courses, experience, institutions Consecutive Simultaneous Conference interpreter, simultaneous Legal interpreter Medical interpreter Captioner Telephone interpreter Ad hoc telephone interpreter Are you available for nights on an ad hoc basis? Language combination: n/a n/a Interpreting rates Commercial On location: Telephone: Half day: Full day: Interpreting rates Government Language On location: Telephone: combination: Translators: Language combination for translating Working language 1: Working language 2: Working language 3: Working language 4: Working language 5: Type of translation work Translating work Yes/No If so, Relevant schooling, diplomas, since when courses, experience, institutions Translations Translations (including review by a second translator) Sworn translations Revision Post-editing Copywriting DTP Copywriting Sworn translator Yes/No Comments Did you become a sworn translator in the Netherlands? For which language combination(s)? Are you registered with a court/ courts? Do you have a certificate of no objection? Did you become a sworn translator in another country? For which language combination(s)? Translation rates Commercial Government Translation (per word): Translation (per word, including review by a second translator): Sworn translations: Revision (per hour): Post-editing (per hour): Minimum rate: Rate for urgent translations: Hourly rate for additional types of work: Software: Software Alchemy Catalyst lite AutoCAD Catalyst Corel Catalyst Corel Draw CorelDRAW CorelDRAW Mac Déjà Vu Dreamweaver FrameMaker FrameMaker Mac FrontPage Helium IBM Translation Manager Illustrator Illustrator Mac InDesign InDesign Mac LocStudio MemoQ Passolo Photoshop Photoshop Mac Publisher QuarkXpress QuarkXpress Do you have? Yes/No Experience Yes/No Version Mac SDLX Trados Studio Trados WorkBench Transit Translation tool Visio Wordbee Wordfast Other: