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Software registration - subscription - first test
Please complete this form to subscribe to the software registration process of the eHealth platform. After submitting this form you will be contacted by RAMIT to agree on a possible test date.
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Email
*
Your email
Company name
*
Your answer
Address
*
Your answer
VAT number
*
Your answer
Name contact person
*
Your answer
Telephone
*
Your answer
Software name
*
Your answer
Software version
*
Your answer
In what language(s) is the software available
*
Dutch
French
German
Required
Has the software been registered before by the eHealth platform?
*
Yes
No
In what timeframe would you be available for the first softwaretests (e.g. between Sept 15 and Sept 21, mid October...) --> we will contact you to agree on a possible testdate
*
Your answer
A copy of your responses will be emailed to the address you provided.
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