MedTech Connect registration form

The department invites NSW medical technology companies to register and participate in the newly established MedTech Connect Program.

This industry-led program will include project facilitation, networking events, and capability building workshops, while facilitating connection and collaboration across the medical technology industry and other key industry sectors.

Important information about this form

You cannot save a draft of this form and access it later — you will need to create and submit the form in one session.

The fields marked with an asterisk * are mandatory and must be completed in order to submit the form.

After you have submitted your form, a copy of the submission will be emailed to the address entered below.

Your details

Title *

First name *

Last name *

Email *

Contact telephone *

Organisation name *

Address *

Suburb *

Postcode *

Country *

Organisation description * Please provide a brief description of your organisation

Areas of interest

Interest to access or have clean room facilities
Have interest in corporate internship or vocation training programs
Starting/growing your business
Building export capability
Connect to an industry partner

Other areas of interest
Please provide a response for other areas of interest.

Industry partner If you selected Connect to an industry partner, please choose the most relevant response/s.

Contract research organisation
Contract manufacturing organisation
Research & development
Clinical trials
Distribution/logistics
Regulatory support
Government procurement support
3D printing
Other

Other industry partner
If you selected other industry partner, please provide a response.

Privacy & confidentiality

Acknowledgement * I have read the department's Privacy Statement and agree to the department using my submission in the ways it's described.

I agree to the above statement.

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