Organisation/Team Information

Instructions

Please complete the information required below. Mandatory fields are marked with an asterisk (*).

* Organisation/Team Name (in English)

* Legal Organisation Name (in national language)

* Organisation/Team Short Name

* Street

* Postal Code

* City

* Country

Organisation Website

* European Commission Participant Identification (PIC) Code

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

Classification

* Profit / Non-Profit

Please select your main category.

* Legal Form

Please select your main category.

* Are you a SME (Small-to-medium sized enterprise)?

Yes

Payer Provider

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".

* EIT Keywords

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.

* Annual Revenue (in Euro)

* Number of FTEs (full-time equivalent)

Please indicate a full number. Decimals are not allowed and will be rounded, please make sure the system rounds correctly.

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.

* First Name

* Last Name

* Title

* Gender

* Email

* Phone Number

* Street

* City

* Postal Code

* Country

* Your Main Function

* Your Sub-Function

* Accurate Description

* If Other, please specify

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