Company Information
Company name
Website
Country
Address
Contact person
Name
Department
E-mail address
Confirm e-mail address
Phone
FAX
Inquiry
Inquiry name
Disease area
Target disease
Stage
pull-down Selection
PII
PIII
Launched
Under development
Other
Alliance
pull-down Selection
Contract Manufacturing
License-in/out
Co-development
Co-Marketing
Co-Promotion
Distribution
Divestiture
etc.
Content of Inquiry(Up to 500 letters)
N.B.(The following contents have to be checked by legal division in your company)
Please write down only non-confidential information. Please avoid including confidential information in the inquiry. When necessary, we will enter into a Confidential Disclosure Agreement. Our company and our affiliate companies will not disclose the inquiry content to a third party.
Please commit yourself not to infringe the intellectual property right and other rights of your company and third party by making use of the information which is given by our company or our affiliate companies.
Our company is responsible for managing your personal information which is given in this inquiry. In addition, a department in charge will only use the information for business development purpose. If you would like to know how our company manages other personal information, please refer to “privacy policy” on our website.