Have an account? Sign in If you don’t have an account you can create one below by entering your email address/username. Your account details will be confirmed via email. Your email (used for account-creation) * Job type * Freelance Full Time Internship Part Time Temporary + EDIT PROFILE FIELDS + EDIT PROFILE FIELDS Contact information Contact information First name * Last name * Degree * Function title * Phone * Organisation / company name * Specify your displayed organisation or company name which each visitor will see. Type of organisation Type of organisation Organisation Type * – Make your choice Government Agency Healthcare provider Industry Knowledge institute Public & non-profit orginization If you would like to change the specifications of your organization type, please reset your previous input by selecting 'Make your choice' in the box above. After this, you can select the type you prefer. Other type of organisation Type of knowledge institute Make your choice University University college University hospital Independent research institute If you would like to change the name of your knowledge institute, please reset your previous input by selecting 'Make your choice' in the box above. After this, you can select the name you prefer. Type of industry Make your choice Life sciences & healthcare company Competence provider Supplier Name of university Make your choice University of Antwerp - Universiteit Antwerpen Vrije Universiteit Brussel University of Ghent - Universiteit Gent University of Hasselt - Universiteit Hasselt University of Leuven - Katholieke Universiteit Leuven Other - define below University name (other) Name of University hospital Make your choice Antwerp University Hospital - Universitair Ziekenhuis Antwerpen University Hospital Leuven - Universitair Ziekenhuis Leuven Ghent University Hospital - Universitair Ziekenhuis Gent University Hospital Brussels - Universitair Ziekenhuis Brussel Other - define below University hospital name (other) Organisation information Research institute / Department Laboratory / Research group Medical department Research group Street and number * Postal code * City * Country * Website Phone * (Organization) Email * VAT number * Description Sector Bioinformatics Biotechnology Consultancy Diagnostics Medical devices Pharmaceuticals Services Other sector Business focus Key activities - Multiple choice Clinical research Consulting Epidemiological research Formulation research Fundamental research Intellectual property Laboratory services Manufacturing Patient care Preclinical research Product development Other key activities Therapeutic / Diagnostic area Allergy - animal Allergy - human Cancer - animal Cancer - human Immune-related & autoim - human Immune-related & autoim – animal Infectious diseases - human Infectious diseases – animal Other diagnostic area Research focus Relevant research projects Size of organisation in Belgium, no of employees 1-4 5-19 20-49 50-250 more than 250 Foundation year Logo * This logo will be displayed as a representation of your organization or company Tags * multiple tags - separate with comma - important for search results ADD PROJECTS ADD PROJECTS Number of projects * none 1 2 3 4 5 Select how many projects you would like to add. (max 5) Project 1 Make sure to remove data from this editor-box if you don't want it to be displayed on your company page. Project 2 Make sure to remove data from this editor-box if you don't want it to be displayed on your company page. Project 3 Make sure to remove data from this editor-box if you don't want it to be displayed on your company page. Project 4 Make sure to remove data from this editor-box if you don't want it to be displayed on your company page. Project 5 Make sure to remove data from this editor-box if you don't want it to be displayed on your company page. Invoicing Details If different from the address mentioned above, please provide us with the invoicing address by clicking the button below (Show invoicing fields). Show invoicing fields By submitting this registration form, you agree to the terms and conditions, which can be found in the Articles of the Association (=Statuten) & the Charter and By-laws (=Huishoudelijk reglement) of Flanders Vaccine. Company / Organisation* Street and number Postal code City* Country* VAT I need a PO on my invoice* Yes No GDPR I confirm that I have read, understand and agree to the General Terms and Conditions and the Privacy Statement CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
