HOME Research Collaboration Submit proposal for a research collaboration Input form Submit proposal for a research collaboration Please fill out the following form and click the ″Confirm″ button. Your Information Name 【Required】 Company / Organization name 【Required】 *Please fill in Organization Name and department / classroom / course. Contact information 【Required】 ■Telephone ■E-mail Location (Head office) 【Required】 ■Postal code ■Address ■Country Name Website Material Information Subject of research 【Required】 Classification *Please check the appropriate classification(s). Small molecular Biologics Nucleic acid Other Stage of research *Please select the appropriate stage. Idea Preclinical study In preparation for clinical development Clinical study Disease area Expected indication Expectations from the company Attachments 【Required】 *File Size: Total 20MB *Template / other; either is acceptable Application template(For Research Collaboration) Word:20KB Intellectual property Research grants from public institutions Cooperating organizations such as a technology licensing organization(TLO) Back Confirm