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  • Submit your application

    You can submit your application for the 'Prix Galien 2024' by completing the form below. You can apply for one of two categories: The best pharmaceutical agent or The best pharmacological research project.

  • On the bottom of the ‘jotform popup window’ click on 'Skip Create an Account' when saving your application.

  • Application details

    Please provide us with the PDF's before 14/03/2025

  • *Companies submitting an application for the best pharmaceutical agent category automatically get two 'free' access tickets to the gala & networking -dinner for each application)

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  • Prix Galien - Application form

    Please fill out the details of your application below
    • Application 1 

    • For more details on the criteria regulation click here for the extended regulations

    • Application file (PDF)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the pharmaceutical agent or pharmacological research project
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed pharmaceutical agent or pharmacological research project is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
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    • Application 2 

    • For more details on the criteria regulation click here for the extended regulations

    • Application file (PDF)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the pharmaceutical agent or pharmacological research project
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed pharmaceutical agent or pharmacological research project is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
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    • Application 3 

    • For more details on the criteria regulation click here for the extended regulations

    • Application file (PDF)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the pharmaceutical agent or pharmacological research project
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed pharmaceutical agent or pharmacological research project is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
    • Browse Files
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    • Browse Files
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    • Application 4 

    • For more details on the criteria regulation click here for the extended regulations

    • Application file (PDF)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the pharmaceutical agent or pharmacological research project
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed pharmaceutical agent or pharmacological research project is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Browse Files
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      Cancelof
    • Browse Files
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