Ref. Ares(2021)2862163 - 29/04/2021 4.1.1. Name of company  ......................................................................................................................................................... ...................................................................................................  4.1.2. Registered address  ......................................................................................................................................................... ...................................................................................................Telephone ..............................  Fax................................. E-mail..............................................................  4.1.3. Names and nationalities of principals / directors and associates  ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................  4.1.4. Type of company (natural person, partnership, corporation, etc.) ………………………………  ............................................................................................................  4.1.5. Description of company (e.g. general civil engineering contractor)  4.1.6. Company’s nationality ...........................................................  4.1.7. Number of years' experience as contractor  - in own country.......................  - internationally......................  4.1.8. Registration details  .........................................................................................................................................................  Please attach copy of the registration certificate  4.1.9. Equity in the company  Shares (%) ............................................................................................................  4.1.10. Name(s)  and  address(es)  of  companies  involved  in  the  project  and  whether  parent/subsidiary/subcontractor/other:............................................................................................ ......................................................................................................................................................... .........................................................................  4.1.11. If the company is a subsidiary, what involvement, if any, will the parent company have in the  project?  ...............................................................................................  4.1.12. Foreign companies must state whether they are established in the state of the contracting  authority in accordance with applicable regulations (for information only)  Signature: ..................................................................................  ( a person or persons authorised to sign on behalf of the tenderer )  Date:.....................  August 2020 d4f_techofferform_4.1_en.doc  Page 1 of 1  VOLUME 1  SECTION 4 FORM 4.1 GENERAL INFORMATION ABOUT THE TENDERER 