All fields are manadatory.

Company Information
Name of institution
Company Registration Number:
(if applicable)
Date of Registration
Size (Number of Employees)
Annual turnover
(in millions of €)
Type of organization

Please note that the main factors determining the type of the company are staff headcount and, either, turnover or balance sheet total (see the COMMISSION RECOMMENDATION of 6 May 2003 concerning the definition of micro, small and medium-sized enterprises). If you are not sure, please check the User Guide to the SME Definition. Please also note that a check of the type of company will be assessed if your demo-case is selected for co-funding.  

Revenue generating product line
Registered Address
Post code
Country of Registration

In order to be eligible for this Call, your company has to be established in one of the eligible countries listed in the attached document.

Applicant Contact Details
Contact name
First name
Last name
Position in the company
Password confirm
Data privacy policy
All personal data and information included in the application submitted via the online submission system will be processed by AMIRES in line with their Privacy policy on behalf of the MEDPHAB project with the purpose of your participation in the Call for Democases and achievement of MEDPHAB objectives. Your data and content of your application will be kept confidential and will be shared only internally with MEDPHAB partners, evaluators and European Commission. General data (such as type of company or country of origin) will be used to create statistics and reports which will be exploited through the project in terms of communication activities. In addition, the names of selected organizations and their countries of origin will be published on MEDPHAB website as part of Public Evaluation Reports. Please click "I agree" to accept this use of your data.