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* 1. Full Name

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* 2. Email:

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* 3. Organisation

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* 4. Position

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* 5. Please provide a brief description of the project / product that you would like to pitch (Limit: 150 words)

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* 6. Please indicate what you would like to achieve through your presentation

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* 7. Is this project/spin-out supported or sponsored by other organisations/individuals?

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* 8. Please describe the nature of support / sponsorship you currently receive:

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* 9. By checking the box you indicate that submitting this EOI does not guaratee a presentation slot. Decisions made by the Australia-China Life Sciences Symposium committee will be final. You will be notified of the decision by 8 Feb 2019.

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