HIHR-9 Regform Investor | Healthy Ideas, Healthy Returns

Investor Registration Form

to register for HIHR-9 and/or the Investor Lounge of EIT Health, please fill out the form below

√ data shared with fellow participants, upon approval
* field required

Pitch event with 6 Start up- and 6 Scale up pitches – Leiden, the Netherlands, 16 November 2021
15 online Quickfire sessions – 18 – 24 November 2021

Investor Registration Form HIHR-9 November 2021

Gender √

First name √ *

Surname √ *

Email adress √ *

Telephone number

Organisation / Company √ *

Position √ *

Address

Zip/Postal

City *

Country * Country

I will join by: *

Regular ticket (€350* per event)

Group ticket (€600* per event)

HIHR Supporting package (€1000* a year)

HIHR Sponsor (€5000* 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 in Leiden, November 16
- GROUP TICKET à €600* per event: unlimited online access plus 2 free passes in Leiden, November 16
- HIHR SUPPORTING PACKAGE à €1000* 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 €5000* 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

Organisation / Company √ *

Address

Zip/Postal

City

Country * Country

Email adress invoice

VAT number

PO- or project-number, if needed

For logistical reasons and minimilisation 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 Level, Leiden, the Netherlands, November 16

online, November 16

Please indicate which parts you wish to join: *

Full day programme

morning session

lunch

afternoon session

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: *

yes

For HIHR, facilitating the interaction between (potential) spin-off projects and experts, is the core of our mission. 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; or pitchers can further discuss their business case with interested investors in a more informal and smaller setting. We encourage all investors, corporates and other experts to participate in these online sessions, organised in the weeks after our pitch event.

Please mark your interest in the following Quickfire sessions, 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'.

1. Novel oligomeric multifunctional biologics

highly interested

open to participate

not interested

Versatile scaffolds to produced custom and novel oligomeric multifunctional biologics
Therapeutics & Biotech, MedTech & Diagnostics - Luxembourg Institute of Health

QF session: Thursday November 18, 09.00 - 09.45

2. 3D-FibroScreen

highly interested

open to participate

not interested

Fibrosis drug development based on a 3D model screening
Therapeutics & Biotech - ULB

QF session: Thursday November 18, 12.00 - 12.45

3. VUS Oncology

highly interested

open to participate

not interested

Genetic biomarkers to help more cancer patients receive targeted treatment
MedTech & Diagnostics - Oncode

QF session: Thursday November 18, 17.00 - 17.45

4. Tumescence Measuring Wearable Patch

highly interested

open to participate

not interested

A smart patch for the quality assessment of the rigidity during a penile tumescent event
MedTech & Diagnostics - Universiteit Hasselt

QF session: Friday November 19, 09.00 - 09.45

5. Standing Sentinel / protoconsciousness bypass and training technologies

highly interested

open to participate

not interested

Hacking REM sleep and waking unconscious for accelerated learning
Therapeutics & Biotech, MedTech & Diagnostics, eHealth & Datascience - Radboud UMC / Donders Institute

QF session: Friday November 19, 12.00 - 12.45

6. Artificial Intelligence for coronary diagnostics

highly interested

open to participate

not interested

Treatment decisions guided by AI analysis of images
MedTech & Diagnostics

QF session: Friday November 19,

16.30 - 17.15

7. AIWorX

highly interested

open to participate

not interested

We automate data-driven processes in healthcare
MedTech & Diagnostics - Start Up Village – Amsterdam

QF session: Monday November 22, 09.00 - 09.45

8. Multiscreening

highly interested

open to participate

not interested

Implantable multiwell technology that brings High Throughput screening to in-vivo
MedTech & Diagnostics - Maastricht University

QF session: Monday November 22, 12.00 - 12.45

9. STEPS to recovery

highly interested

open to participate

not interested

Novel treadmill solution for early ambulation in the ICU
MedTech & Diagnostics - IXA Amsterdam UMC

QF session: Tuesday November 23, 09.00 - 09.45

Please mark your interest for the 6 additional QF-sessions, following their pitch sessions given on November 16, if you want to be secured of a seat:

10. Antares

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

Point-of-care therapeutic drug monitoring device
MedTech & Diagnostics - UGent / IMEC

QF session: Monday November 22, 17.00 - 17.45

11. ShanX Medtech BV

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

We are developing antibiotic efficiency testing diagnostic devices.
MedTech & Diagnostics - TU Eindhoven / The Gates

QF session: Tuesday November 23, 12.00 - 12.45

12. Cytomine

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

Your reference partner for collaborative biomedical image analysis
eHealth & Datascience - U Liège

QF session: Tuesday November 23, 17.00 - 17.45

13. Preimure BV

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

Ultra-tunable Bio-compatible Antibiotic Coating
MedTech & Diagnostics - Utrecht Holding

QF session: Wednesday November 24, 09.00 - 09.45

14. Rapidemic

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

A novel easy, fast and accurate molecular diagnostic tool for infectious diseases
MedTech & Diagnostics - Leiden University

QF session: Wednesday November 24, 12.00 - 12.45

15. Northern Target

Please reserve me a seat

Open to participate

I'm not interested

I'm interested but can't join this session

Arginase inhibitors for treatment of pulmonary diseases
Therapeutics & Biotech - University of Groningen

QF session: Wednesday November 24, 17.00 - 17.45

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

Yes

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

Yes

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

Yes

Additional comments:

Thank you for completing this form. You will receive a confirmation shortly. Calendar invitations will be sent with the online link, depending of your choice. 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, €1000 as supporter or €5000 as sponsor (all amounts ex VAT). Only one invoice will be sent per organisation.