(B) Non Confidential Information 양식

Applicant Information	Company Name
	Applicant Name		Job Title
	Email Address
	Phone Number
Company Information	Company Profile	o Brief Description: o Website:
	Number of Employee		Date Founded (month/year)
Team	Team Information	Why You? Please describe your team's background and the relevance to the approach you are developing
Product	Drug Classification	ex) mAb	Phase	ex) Lead Optimization
	Mechanism of Action
	Target / Approach	Why This? Please give a brief overview of the approach/target your team is working on. Please also explain the advantage of your approach
Non Confidential Data (Current Data and Target Compound Profile)	Efficacy
	Safety/TOX
	Physicochemical Property
	PK
	Metabolism
	CMC/Production
	Formulation
Resource	Budget and Staffing
	Milestone and Timeline
	Collaboration Plan	What is the proposed collaboration plan with Servier? What is your expectation? How will the research leverage the expertise in you and Servier?
IP Check	Title/Number
	Ownership
Research Proposal Please Attach Research Proposal with any form that describe your project in most effective way