If applicable
Name of the head of the organisation
Name of the responsible person for the (awareness) unit
Name of the contact person for EuroScan/i-HTS
This person is assigned to be the primary contact point for the secretariat.
Checkbox group: Our organisation confirms that it meets the EuroScan membership criteria
If you do not yet carry out Early Awareness (including Horizon Scanning), you can also describe this.
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The logo is used on the website to show that you are a member of the network once you have achieved member status.
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You can upload further documents to support the statements you have made previously.
Consent publishing of information in EuroScan/i-HTS intranet
Willingness to apply for membership at EuroScan/i-HTS
Membership fees
Commercial interest

Please print out this form for signing.

  1. Please print out this application form and have it signed by the relevant person in your organisation.
  2. Scan the signed document and upload it again in the next step.
Clear Signature
This field should can be filled on a print-out version of this form.

Please upload the signed form.

Please us the drag & drop below or choose file to upload to provide the signed form.

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Upload the signed version of the completed membership application form.
Save and Resume Later

Thank you for your interest.