Guiding Your Way Into 13th DDSS - A World of Opportunities Please complete the following details and return the registration form to your participation for the 13th Drug Discovery Strategic Summit (DDSS). Upon receipt of this signed form, a formal notification of your presentation slot will be shared with you & with the rest of your industrial peers coming to the event. Prior to the event, complete list of 13th DDSS attendees along with their company & personal information will be shared, so that you can decide your meeting partners according to your preference.TitleDr.TitleProf.TitleBothTitleNoneName *Position *Email *Company *AddressPost CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweTelephone *Mobile *The 9th Edition of DDSS aims to ensure quality gathering and knowledge to its attendees and to make it happen we will need you to fill out the following particulars. Your responses will then be used to mature the agenda, as well as corresponding your needs to our supplier's services.1. Who would you attend as your replacement if you are unable to make the summit?NamePositionTelephoneCompany2. Who, besides yourself have control over the Drug Discovery related budget?NamePosition3. Please indicate your line manager's details. (Optional)Name4. What are your key priorities for the next 6 to 8 months?5. Please list any subjects or areas of interest that you would like to see on the summit agenda6. Please select your industrial sector:SectorPharmaceuticalsSectorBiotechnologySectorOther7. Annual Personal budget for Drug Discovery related products & services:Personal Budget<1 Million USDPersonal Budget1-10 Million USDPersonal Budget10-50 Million USDPersonal Budget>50 Million USD8. Scope of responsibility:ScopeDepartmentalScopeRegionalScopeEuropeanScopeInternationalScopeNationalScopeOther9. What products & services are you planning to purchase in the next 6-18 months?ServicesArtifcial lntelligence in Drug DiscoveryServicesTransgenesis ServicesServicesPharmacologyServicesBiomarker ValidationServicesData Management TechnologyServicesLead Optimization & Profiling, HTSServicesDigital lmaging Technology DiscoveryServicesTechnology Covering biological studiesServicesDrug Discovery Outsourcing ServicesServicesImaging/Biomarker service/CollaborationServicesGene Expression Technology PlatformsServicesln / Out licensing discovery projectsServicesProfiling Solutions Medicinal ChemistryServicesCrystallographic CharacterizationServicesPharmacogenetic TestingServicesProtein EngineeringServicesProtein ldentification ServicesServicesAntibodies / Nanobodies TechnologyServicesReagents TechnologyServicesBiophysical Characterization ServicesServicesScreening ServicesServicesADME / PK / ToxicologyServicesTarget ldentification & ValidationServicesChemistry (Medicinal, Organic, Combinational, etc.)Other (Please Specify)Signature *Start signing your signature hereYour browser does not support e-Signature field.Date Terms & Conditions of this complimentary pass:Cancellation requests must be submitted in writing, at least 60 days before the summit. You must choose a replacement delegate for the summit in the event of cancellation. You consent to pay 990$ to AFSG as reimbursement for the costs that AFSG will incur at the summit in the event of cancellation and failure to provide a suitable replacement.Send Message
