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Name of LCA (Meeting Owner)
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LCA Email (Meeting Owner Email Address)
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KTL Details (One entry per KTL)
KTL Full Name
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Email Address
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Country
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Select Country
Australia
China
Hong Kong
India
Indonesia
Japan
Malaysia
Philippines
Singapore
South Korea
Taiwan
Thailand
Vietnam
Others
Country ( Others )
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City
KTL Profile / Bio
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Meeting Topic
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Asset
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Select Asset
Erbitux
Bavencio
Tepmetko
Pipeline
Indication
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Select Indication
mCRC
SCCHN
UC
RCC
MCC
NSCLC MetEx14
Others
Indication ( Others )
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Senior Leader Requested?
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Select one
Yes
No
List of Senior Leaders
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Select Senior Leader
Mr Yariv Hefez
Ms Lucile Chantegrelet
Mr Alexandre De-Muralt
Mr Amr Adel Mohamed Ali Hasanein
Mr Chetak Buaria
Mr Anandram Narasimhan
Mr Rajiv Rana
Ms Louise Young
Mr Rowan Higgs
Ms Sofia Depner
Mr Aydan Dincer
Mr Andrey Voloshin
Ms Gulin Ayhan Pulur
Mr Jason Hoffman
Ms Barbara De Blas
Ms Yacia Bennai
Subject to Senior Leader Availability
Select up to 3 Senior Leader
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