Register for our S/EIS Fund
Register

fill out the form below to apply

    Name *

    Email *

    Company Name *

    Phone Number


    How did you come to know about this programme? *

    Referred by? (Please let us know their name): *

    Please specify:*

    Have you secured any funding or grant money to date? *

    YesNo

    Equity funds raised since inception (currency)

    Details of any grants awarded *

    Are you currently working with any CRO? *

    YesNo

    Why would you like us to support your drug discovery program at this stage? *

    What are the near term scientific and fundraising milestones that you would like to achieve? *

    A short summary about your company (250 words) *

    Please attach non-confidential business plan or presentation *