EUM-BIO Online Registration for European/Asian Organisations
 
Registration Form
 
Yes, please register me for the Business Match-Making Event.
Yes, please register me for the International Conference.
Yes, please register me for the Exhibition.


Shell Scheme Booth Package
Number of Booths

Yes, I would like to advertise in EUM-BIO Catalogue.

Colour
B/W
 
How did you get to know about this event?
Invitation from the EUM-BIO Secretariat.
Invitation from EuropaBio.
Invitation from BioFarmind.
Invitation from Supportive Organisation. pls specify
Marketing Agent - Niche Knowledge Sdn Bhd
Advertisement.
Others. pls specify
 
SECTION 1
 
General Information ( * are required fields)
   
Title*
Name*
Position / Function*
Organisation Name*
Number of Staff
Annual Business Turnover in Euro
Organisation Profile*
(max 200 words)
  Note: For profiles longer than 200 chars, please forward to carmen@eumbio.org
Organisation's Role and Main Activities (Products & Services)*
(max 200 words)












Organisation's Achievements
(max 200 words)
Website
Industry Sector  
Bio-agriculture
Bio-healthcare
Bio-informatics
Bio-manufacturing
Others. pls specify
   
Address 1*
Address 2
City*
State
Country*
Zip Code*
Phone Number*
Country Code
Area Code
Direct number
Fax Number
Country Code
Area Code
Direct number
Mobile Number
Country Code
Prefix
Number
Email*
Email (confirm)*
User name*
Password (8-10 char)*
Password (confirm)*
   
   
Contact Person / Your Assistant
(if applicable)  
Title
Name
Email
Phone Number
Country Code
Area Code
Direct number
Fax Number
Country Code
Area Code
Direct number
Comments
   
   
Add Representative 2  
Title*
Name*
Position / Function*
Mobile Number
Country Code
Prefix
Number
Email
   
   
Add Representative 3  
Title*
Name*
Position / Function*
Mobile Number
Country Code
Prefix
Number
Email
   
 
   
SECTION 2  
 
Please indicate whether you would like to offer or request the following partnership matching
Technology co-operation
Not applicable
Offer
Request
Commercialisation of R&D
Joint R&D
Contract Research
Proprietary Consultancy
Technology Licensing
Technology Transfer
Technical Assistance
       
Business Partnership
Not applicable
Offer
Request
Business Products Outsourcing
Contract Manufacturing
Distributorship/Agency
Global Product Sourcing
Joint Bidding of Government Tender
Joint Production
Joint Venture
Manufacturing Investment
Resellership
       
Financial Alliance
Not applicable
Offer
Request
Cross region Initial Public Offering (IPO)
Foreign Direct Investment (FDI)
Merger and Acquisition
Project Financing
Venture Capital
       
Others (please specify)
 
Methods of Payment
Telegraphic Transfer (for overseas delegates)
  EUM BIOTECH BUSINESS PARTNERSHIP PROJECT
CIMB Bank Berhad. Bank
A/C no: 1601-0000460-05-8
Bank Swift Code: CIBBMYKL
(Please fax your T/T for verification - fax: +603-5882 9920)
Cheque (for Malaysian delegates)
Enclosed is our cheque amounting to Ringgit Malaysia (RM) payable to EUM BIOTECH BUSINESS PARTNERSHIP PROJECT. Cheque number
 
REGISTRATION POLICY:
Cancellations must be received in writing. Fax to +603-58829920 or e-mail carmen@eumbio.org by October 1, 2007, to qualify for a refund. After October 1, 2007, there will be no refunds.

A 50% cancellation fee will be deducted for all approved cancellations received by October 1, 2007. All refunds will be processed after the event.

Substitutions must be received in writing by October 1, 2007. After October 1, 2007, you will need to bring your request at the event registration desk.

Provide a business card when you arrive on-site to pick up EUM-BIO event materials.
 
We remain at your disposal for further information you may require.