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Email Address*

First Name*

Last Name*

Company*

Job Title*

Telephone

Address

Name of solution*

Which RCT phase is supported by your solution?*
—Please choose an option—RCT - set-up & designRCT - recruitment & enrolmentRCT - data acquisition & processingRCT - operations & coordinationRCT - close-out & reportingRCT - patient engagementRCT – multiple / other areas

Technology Readiness Level*
—Please choose an option—TRL 1 – basic principles observedTRL 2 – technology concept formulatedTRL 3 – experimental proof of conceptTRL 4 – technology validated in labTRL 5 – technology validated in relevant environment (industrially relevant environment in the case of key enabling technologies)TRL 6 – technology demonstrated in relevant environment (industrially relevant environment in the case of key enabling technologies)TRL 7 – system prototype demonstration in operational environmentTRL 8 – system complete and qualifiedTRL 9 – actual system proven in operational environment (competitive manufacturing in the case of key enabling technologies; or in space)

Brief description of the solution

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