CPhI South East Asia 2019

12-14 March 2019, Queen Sirikit National Convention Centre (QSNCC), Bangkok, Thailand

- Please complete the form below in English
- Please fill out your details below. All data fields preceded by a * sign are compulsory


Contact Information
Company:*
  Title:*
  First name:*
  Last name:*
Job title:*
Address 1:*
Address 2:
Postcode:*
Country / Region:*
City/State/Province:*
Telephone:*
Mobile:
Fax:
E-mail:*
Confirm E-mail:*
(Fill the same e-mail as above to prevent mistake)

Questionnaire
Q01. Which of the following best describes your position? *

Board Director

CEO/COO/President/Chairman

Consultant

VP/Director

Sr.VP

Managing Director

Manager with staff

Non-management


Q02. Department description *

Biometrics

Chemical Development

Clinical Development

Engineering

General Management

Investment

Laboratory

Machinery

Marketing/ Communcications/PR

Out-licensing

Production

Purchasing/Procurement

Regulatory Affairs/QA/QC

Research & Development

Sales


Q03. What is your organisation's primary activity? *

Academic

Agrochemical

Analytical Services

Animal Health

API Producer

Association/Government

Biopharmaceutical

Chemical Development

Cleanroom Technology

Clinical Research

Consultancy

Contract Manufacturer

Contract Research Organisation

Custom Manufacturing/Custom Synthesis

Distributor

End product distributor

Engineering

Excipients Manufacturer

Fine Chemicals Company

Finished Formulation products Distributor/Buyer

Generic APIs producer

Ingredients Distributor/Buyer

Intermediates Manufacturer

Laboratory Services

Laboratory, Analytical, Biotechnology Equipment

Marketing Services Provider

Medical Devices

Medical Technologies

Natural Extracts

Nutraceuticals

OTC

Out-licensing specialist

Packaging & drug delivery

Packaging materials

Pharmaceutical Company (generic finished products)

Pharmaceutical Company (innovator finished products)

Pharmacy

Regulatory Affairs

Supply Chain

Technology

Transport / Logistics / Distribution

Other



Q04. Which best describes the type of company you're interested to meet at CPhI SEA 2019? *

Manufacturer

Distributor

Licensee

Contract Service


Q05. Which best describes the products and/or services you are interested to source at CPhI SEA 2019? *

APIs

Generic APIs

Custom Manufacturing

Intermediates, Fine and Specialty Chemicals

Excipients

Finished Dosage Forms

Pharmaceutical Technology

Laboratory and Analytical Equipment

Biopharmaceuticals

Pharmaceutical Packaging

Natural Extracts

Contract Services - Analytical & Lab Services

Contract Services - Bio Services

Contract Services - Contract Services

Contract Services - Pre Clinical Trials, Clinical Trials Stages 1-4, CRO, Clinical Data

Pharmaceutical Products/ATC Coding


Q06. How many employees does your organisation have? *

1 - 24

25 - 49

50 - 99

100 - 249

250 - 499

500 - 999

1000 - 4999

5000+


Q07. What is your company's annual turnover *

Up to £49,999

£50,000 - £99,999

£100,000 - £249,999

£250,000 - £499,999

£500,000 - £999,999

£1 million - £20 million

£21 million - £50 million

£51 million - £100 million

£100 million+


Q08. What is your purchasing responsibility? *

Make purchase

Authorise purchase

Influence purchase

Specify suppliers

I have no purchasing responsibility


Q09. In which geographical areas does your organisation operate? *

Africa

Australia/ New Zealand

Brazil

Canada

Central America

China

Colombia

Egypt

EU- countries

India

Indonesia

Iran

Japan

Korea

MENA Region

Mexico

Non-EU

Pakistan

Russia (and other ex-CIS countries)

Saudi Arabia

Singapore

South America

South Asia

South East Asia (ASEAN)

Turkey

United States of America


Q10. How did you hear about us? *

Article / advertisement on an industry-related website (please specify)

Article in a website / magazine (please specify)

Email from an exhibitor

E-mail from the organizer

Fax invitation

Information received via post (from an exhibitor)

Information received via post (from the organiser)

Magazine Advert

Newsletter from the organiser

Newsletter / e-mailing / banner from an exhibitor

Printed invitation from an exhibitor

Printed invitation from the organiser

Recommended by a colleague

Social media network (please specify)

Trade Association

VIP invitation

Web banner

Web search engine

Website of an exhibitor

Website of the organizer


Q11. Would you be interested in exhibiting in the future? * *

Yes

No


Q12. What is your main reason for attending the event? *

Familiarise with new market segments

Look for new products

Maintain contact with existing suppliers

To become familiar with new products/ services/ technologies

To evaluate exhibiting in the future

To find new vendors

To get a general overview of the market and market developments

To get in touch with new vendors/ suppliers

To learn about the latest technologies

To network with industry peers

To place orders/ purchase

to promote own products / services

To visit the conference / workshops

Other



Q13. Will you offset CO2 travel to the event? *

Yes

No


Q14. Would you like to participate in our free-of-charge Matchmaking programme? *

Yes

No


 I would like to register FREE seminars

Networking Feature

By registering, you are agreeing that your registration details will be made available on the networking feature on our digital tools and onsite activities. This will allow other attendees to search for you and send you a message if they want to meet you at CPhI SEA 2019
If you do not wish to participate in the networking feature, please opt-out by ticking here.


Admission Policy
  1. Admission is FREE.
  2. The exhibition is open to trade and business visitors only.
  3. The general public and minors below the age of 16 will not be permitted entry for security and safety reason.
  4. All visitors must be properly attired, e.g. those in shorts will be refused entry into the exhibition halls.
  5. Organised groups employees of manufacturing operations and government officers are welcome. Please contact the organiser in advance.
  6. The organiser reserves the right to refuse entry without being required to give reasons.

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T&Cs and Privacy Policy*

I have read, understood and consent to your Privacy Policy *

Badge Scanning Policy*

Whilst I may choose to withhold 3rd party consent upon registration to the CPhI South East Asia 2019, I understand that by choosing to allow my badge to be scanned by an exhibitor or sponsor, I am providing the exhibitor or sponsor with my personal data and in doing so I consent to this personal data being used by the exhibitor or sponsor for the purpose of contacting me in the future about their products or services. Badges cannot be read remotely. I also understand and agree that my personal data may be held and used by the organiser of CPhI South East Asia 2019 and any third-party hosting provider acting on its behalf, in order to run the event and for analysing visitor traffic with a view to improving the event experience for visitors and others. I understand and agree that the organiser may transfer my personal data outside of the European Economic Area for these purposes and I consent to such transfer of my personal data. I understand that as part of event security/attendance my badge may be scanned on entry/exit. This process is not associated with 3rd party consent choices that I may make.*

 
   
   
                        
 


All data fields preceded by a * sign are compulsory.



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