Testing Form – Global Placo Solutions

Name of the Organization* Full address (HQ)* Phone no with area code* Organization’s email address* Other Locations/subsidiaries* Website Address*

Concerned Person Details

Name of the concerned person* Designation* Phone no with area code* Full address * Email address*

We are looking for companies closely matching the following requirements:

Is this an urgent requirement?*: What kind of Vendor are you looking for*: Location/site preferred for business (country and city)*: Type of the vendor*: Scope of work (in detail)*: When is the Project expected to kick-off*: Specific areas of expertise looking for (e.g: PV, Medical writing, regulatory)*: Therapeutic area experience required for*: Is the therapeutic area experience mandatory*: Size of the team required (approximately in numbers): Any budget in mind (mention estimate in INR, EURO, DOLLARS etc): whether the budget is : How many years of experience in the Pharma and Lifesciences Industry preferred :

Please answer the additional questions helpful for us:

Global PLACOS provides the following technical services which are performed by qualified and experienced professionals already included in the package to help Clients to ensure they have a smooth transaction with the selection and finalization process:

Do you need a Due Diligence/Audit to be performed before signing the contract*: Do you need any help with shortlisting of Database providers/ customization/Tools support?*: We provide Vendor management & Performance management, and support Clients by setting up strict SLAs and KPIs. Please mention if this needs to be done*: Proposal required by date*: Please mention if any additional requirements/specifications : Do you consent this information to be shared with the Vendor /thirdparty?

Philadephia

4352 Market St
#3200 Philadelphia, PA 19103
(215) 569-0455

New Jersey

6 Split Rock Drive
Cherry Hill, NJ 4563
(856) 323-9746

Asia Pacific

343 Main St
#232 Singapore, SG 67867
(657) 898-0455

Europe

89 Kingstreet St
#3200 London, PObox 19103
(433) 896-0455