HOME Licensing Submit proposal for licensing Input form Submit proposal for licensing 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 Product name 【Required】 Classification ＊Please check the appropriate classification(s). Small molecular Biologics Nucleic Acid Other Stage of clinical development ＊Please select the appropriate stage. Platform Preclinical study Clinical study Launched Disease area Expected indication Mechanism of action Advantage of the product Attachments 【Required】 ＊File Size: Total 20MB ＊Template / other; either is acceptable. Application template(For Licensing) Word：20KB Intellectual property Desired contract type Back Confirm
