Platform Questionnaire Please fill in all the fields. Information will be included in a platform and used for optimising your partnering and scheduling experience. Title First Name* Last Name * Company Name * HQ Country *AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Job Title * Company Overview*Please provide a brief overview of your company, portfolio and capabilities. Geography We Are Present In*APACEastern EuropeLATAMNorth America and Canada TMENAWestern EuropeWorlwide Other Geography We Are Present In (Other)Please type additional countries information Site CertificationsPlease type: EU GMP, FDA, MHRA, PMDA, Swissmedic, WHO GMP, Other regional certifications Therapeutic Area Of Interest *AgingAllergyAnalgesia / AnaesthesiaAutoimmune DiseaseCardiovascularCentral Nervous SystemDermatologyEndocrinologyGastroenterologyGenetic DisorderGrowth DisorderGynecology and ObstetricsHematologyInfectious DiseaseInflammationMetabolic DisorderMusculoskeletal DiseaseNephrologyNeurologyOncologyOphthalmologyOtorhinolaryngologyPaediatricsPainPsychiatric DisorderRare DiseaseRespiratoryRheumatologySleep DisorderSurgicalToxicity and IntoxicationUrologyWound Healing Therapeutical Areas Other Therapeutic Area: Additional Details We Are Looking For: Products*Small Molecules & Generics: Primary, Branded, VAMs, Rx Generic DossierBiologics & BiosimilarsSpecialty Medicines, NCEs, Novel Products, Novel FormulationsPhase I–III / Pre-registration / Pre-approved ProductsOTC & Consumer HealthMedical DevicesHospital ProductsVaccines APIPlasmaOtherNot Applicable Looking For: Products Additional Details We Are Looking For: Form and Formulation *Inhalation: aerosols, dry powder inhalers, nebulisersOral Liquid: solutions, suspensions, syrups, emulsionsOral Solid: tablets, capsules, powders, granulesParenteral: intravenous, intramuscular, subcutaneous injections, infusionsSuppositories & Pessaries: rectal, vaginalTopical ointments, creams, gels, lotions, patches Other Not Applicable We Are Looking For: Business Model of Interest *Asset / Product AcquisitionCo-Development OpportunitiesCommercialisation PartnersEquity Investment / FundingIn-LicensingOut-LicensingPrivate LabelTech TransferOther We Are Looking For: Services*CDMO Contract Manufacturing / CMOClinical Development / CROPackagingRegulatory / Registration ServicesScouting ServicesDigital SolutionsConsultingPromotion, Distribution & Marketing ServicesOtherNot Applicable Other Looking For: Form & Formulation Looking For: Other Business Models Other Looking For: Services We Are Offering: Products*Small Molecules & Generics: Primary, Branded, VAMs, Rx Generic DossierBiologics & BiosimilarsSpecialty Medicines, NCEs, Novel Products, Novel FormulationsPhase I–III / Pre-registration / Pre-approved ProductsOTC & Consumer HealthMedical DevicesHospital ProductsVaccines APIPlasmaOther Not Applicable Approval Status of Products For Meetings (Additional Details, If Needed) Give details about product(s) and their approval status e.g. Health Canada, Approved in EU, Approved in GCC / Saudi FDA, US (FDA) etc. We Are Offering*Asset / Product AcquisitionCo-Development OpportunitiesCommercialisation PartnershipsEquity Investment / FundingIn-LicensingOut-LicensingPrivate LabelTech TransferOtherNot Applicable Other Offering: Products Other Offering: Business Model of Interest We Are Offering: Form and Formulation *Inhalation: aerosols, dry powder inhalers, nebulisersOral Liquid: solutions, suspensions, syrups, emulsionsOral Solid: tablets, capsules, powders, granulesParenteral: intravenous, intramuscular, subcutaneous injections, infusionsSuppositories & Pessaries: rectal, vaginalTopical ointments, creams, gels, lotions, patches Other Not Applicable We Are Offering: Services*CDMO Contract Manufacturing / CMOClinical Development / CROPackagingRegulatory / Registration ServicesScouting ServicesDigital SolutionsConsultingPromotion, Distribution & Marketing ServicesOther Not Applicable Other Offering: Formulation Other Offering: ServicesSubmitReset
