COMPANY INFORMATION

Contact person (Full name)

Job Title

Email Address

Company name

Website

Headquarters Country

Type of Organisation Type of Organisation Freelance Private Company Public Company Research or Technoly Center University Non-for-profit Foundation Other

Organisation size Organisation size Micro (less than 10 employees and less or equal than 2M€ turnover) Small (less than 50 employees and less or equal than 10M€ turnover) Medium (less than 250 employees and less or equal than 50M€ turnover) Large

Market Presence Market Presence National European International

Category of your solution for CRANE Category of your solution for CRANE Open platform for data management Virtual data lake Self-management of chronic conditions Medical devices & apps Social-community and individual services related to tele-rehabilitation Follow-up and motivation of patients Other

Expertise, products and services contributing to CRANE’s objectives

Are you willing to promote and/or coordinate a Consortium for the CRANE tender? Are you willing to promote and/or coordinate a Consortium for the CRANE tender? Yes No

Type of companies, solutions and expertise sought from other potential partners

Are you willing to share further information under a Non-Disclosure Agreement? Are you willing to share further information under a Non-Disclosure Agreement? Yes No

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