HIHR-12 Regform Investor – Healthy Ideas, Healthy Returns

Gender √

Mr

Ms

First name √ *

Surname √ *

Email adress √ *

Telephone number

Organisation / Company √ *

Position √ *

Address

Zip/Postal

City *

Country * Country

I will join HIHR. In addition to me, the following colleagues listed below, would also like to join. They will sign up separately to mark their interest in QF-sessions and receive the invite for the various online sessions. NB their names are needed to ensure that only one invoice will be sent to your company. *

Only by myself

Name and @ 2:Name and @ 2:

Name and @ 3:Name and @ 3:

Name and @ 4:Name and @ 4:

I will join by: *

Regular ticket (€350* per event)

Group ticket (€600* per event)

HIHR Supporting package (€1.000* a year)

HIHR Sponsor (€7.500* a year)

Existing supporter / package holder

Or, I register in addition to my colleague (please add his/her name) and therefore do not receive a separate invoiceOr, I register in addition to my colleague (please add his/her name) and therefore do not receive a separate invoice

* All amounts ex 21%VAT

REGULAR TICKET à €350* per event - online access or free pass for 1 person to F2F pitch event
GROUP TICKET à €600* per event: unlimited online access plus 2 free passes to F2F pitch event
HIHR SUPPORTING PACKAGE à €1.000* a year: unlimited access to online events; 2 free passes per F2F edition; your company listed on our website with link to your own homepage; priority access to list of venture proposals and quickfire sessions)
HIHR SPONSOR à €7.500* a year (on rolling base): unlimited access to on line events; 5 pp per F2F edition; reference as partner on website with logo; contributions to our training/coaching/expert event; exposure as actively supporting the creation of a Benelux platform; priority access to list of venture proposals and quickfire sessions)

Is the billing address same as above? *

Yes

No

Organisation / Company √ *

Address

Zip/Postal

City

Country * Country

Email adress invoice

VAT number

PO- or project-number, if needed

For logistical reasons and minimalization of food waste, we kindly ask you to complete the following options. Please note that we expect your colleagues - if any - to sign up separately. I will participate: *

in person at The Auditorium in Eindhoven, November 16 plus perhaps some online QF-sessions as listed hereunder;

I only want to join the online QF session(s) in November and will mark my interest further up in this registration form.

The days starts with a walk in and lunch from 11.30 and the pitch-programme starts at 13.15. Please indicate which parts you wish to join on November 16: *

lunch

pitch session

networking drinks (5pm onwards)

Do you have any dietary wishes ?

Yes. Please describe:Yes. Please describe:

I am interested in (more options possible): *

Therapeutics & Biotech

MedTech & Diagnostics

eHealth & DataScience

Other / more specifically:Other / more specifically:

All investors are warmly invited to join our Quickfire sessions. A great opportunity to get acquainted with very early stage projects, thereby supporting young teams by discussing their project in a 45 minute session. Do you want to participate in one or more of these sessions:

For HIHR, facilitating the interaction between (potential) spin-off projects and experts, is the core of our mission. Projects not pitch ready yet, can learn a lot from a first acquaintance with experts to get a better understanding of the transition from researcher to entrepreneur and what it takes to actually bring a product to the market. Our small scale Quickfire sessions are highly appreciated for their intimate and informal atmosphere where new projects can test their ideas and receive your feed back in a small and safe setting. We encourage all investors, corporates and other experts to participate in these online QF-sessions, organised in the weeks before our pitch event, and grately appreciate your support here.

Please mark your interest in the following Quickfire sessions, help and join as many QF-sessions as you wish to.

Allocation will be based on interest and availability. Priority access will be given to indications 'highly interested'. Calendar invitations will be sent with the online MS Teams link, to indications 'Highly interested'. Indications 'willing to help' receive an optional calender invite.

1. Wavy Meet

highly interested

willing to help (if needed)

not interested

We make remote cardiac rehabilitation possible
Therapeutics & Biotech - SnT/University of Luxembourg
QF session: Monday 7 November, 09.00 - 09.45

2. Classifide

highly interested

willing to help (if needed)

not interested

Guiding therapeutic decisions in cancer
MedTech & Diagnostics - NKI-AVL Knowledge Transfer & Contracting
QF Session: Monday 7 November 17.00 - 17.45

3. Qaring

highly interested

willing to help (if needed)

not interested

Quantifying the Patient Journey
eHealth & Datascience - Innovation en Impact Centre TU Delft
QF session: Tuesday 8 November, 12.00 - 12.45

4. MyoHealth Diagnostics

highly interested

willing to help (if needed)

not interested

Predict diseases risks based on muscle health
MedTech & Diagnostics - SOPARTEC SA / UCLouvain
QF session: Tuesday 8 November, 17.00 - 17.45

5. inSteps

highly interested

willing to help (if needed)

not interested

in-silico stroke treatment simulation to optimize devices and clinical trials
MedTech & Diagnostics - IXA Amsterdam
QF session: Wednesday 9 November, 09.00 - 09.45

6. Functional nanoparticle for synergy of radiation and photodynamic therapy of cancer

highly interested

willing to help (if needed)

not interested

Scintillating nanoparticles with upconversion function
Therapeutics & Biotech - IXA UvA
QF session: Wednesday 9 November, 12.00 - 12.45

7. ExCulture

highly interested

willing to help (if needed)

not interested

Transform the production method of life saving pharmaceuticals
Therapeutics & Biotech - Delft Enterprises
QF session: Monday 14 November, 9.00 - 9.45

8. IR Lumen

highly interested

willing to help (if needed)

not interested

Shining light on the diagnosis of chronic lung diseases
MedTech & Diagnostics - IXA VU
QF session: Monday 14 November, 12.00 - 12.45

9. SMART-HIP

highly interested

willing to help (if needed)

not interested

Objective assessment of soft tissue balance during a hip replacement
MedTech & Diagnostics - TU Delft
QF session: Monday 14 November, 17.00 - 17.45

I agree to share my/our contact details (√) with fellow participants *

Yes

No

I agree to store my/our contact details (√) and use for next HIHR editions/EIT Health Investor lounges *

Yes

No

I would like to learn more about the EIT Health Investor Network:

Yes

No

I would like to learn more about Healthy Ideas, Healthy Returns:

Yes

No

Additional comments:

Thank you for completing this form. You will receive a confirmation shortly. Calendar invitations will be sent with the online link, following your Quickfire selection. We look forward to welcoming you to our sessions in November!

By submitting this form, I agree to the invoicing of the participation fee a €350 for a regular ticket, €600 for a group ticket, €1.000 as supporter or €7.500 as sponsor (all amounts ex VAT). Only one invoice will be sent per organisation.

Investor Registration Form

Please mark your interest in the following Quickfire sessions, help and join as many QF-sessions as you wish to.

Thank you for completing this form. You will receive a confirmation shortly. Calendar invitations will be sent with the online link, following your Quickfire selection. We look forward to welcoming you to our sessions in November!