Organisation/Team Information

Instructions
Please complete the information required below. Mandatory fields are marked with an asterisk (*).
Please indicate a full number. Decimals are not allowed and will be rounded, please make sure the system rounds correctly.
The PIC Code is an unique identifier used by the European Commission and mandatory for all participants of EU financed programmes.
If you do not have one, please apply for one: Click here
Please select at least 3 keywords to categorise your company. Start typing in the words and the system will auto-populate keywords that you can select.

Click here to view a list of all of our keywords.
If your company / team falls in more than one category here, please choose the one that represents you best.
Which is the last funding round/stage you secured?
NOTE: This information will be used for EU reporting purposes. In case you prefer not to disclose, please select the last option.
More information about EIC can be found here: https://eic.ec.europa.eu/about-european-innovation-council_en
Please select your main category.
A healthcare provider is an organisation that offers healthcare services. A healthcare payer is an organisation that pays for the services administered by a healthcare provider. If neither applies to your organisation, please select "Not Applicable".
For example Germany: GmbH, Spain: S.L., UK: LLC, etc.

Contact Information

Contact's address
Please enter below the address where you can be contacted directly. This can be the same address as your organisation, but can also be different.
EIT Health would like to keep you up to date with information about its programmes, courses, news and events by email. You can opt-out of these emails at any time. For further information on how EIT Health manages your data please see our privacy policy at https://eithealth.eu/privacy-policy/.