TransCelerate BioPharma Inc. Membership Application Applicant Information Company Name Primary Company Contact Address City State Zip Email Phone Fax Membership Class Requested Eligibility for membership in a particular class is based on the applicant’s publicly available annual budget for research and development over the three years preceding the date of the application and additional criteria included in the TransCelerate BioPharma Inc. (“TransCelerate”) bylaws. ☐ Tier 1 Member ________________ (Annual R&D budget in excess of $2.5 Billion) ☐ Tier 2 Member ________________ (Annual R&D budget over $100 million but less than $2.5 billion) ☐ Associate Member ________________ (Annual R&D budget of less than $100 million) Dues Member dues are established by the TransCelerate Board of Directors on an annual basis and vary based on membership class (above). Members may also be subject to special project assessments. TransCelerate BioPharma Inc. Membership Application Page 2 of 3 TransCelerate Project Areas Based upon the Applicant’s interest, please prioritize the particular TransCelerate projects (rank 1 through 5): ☐ Shared Site Collaboration Platform A shared, cross-industry site investigator portal designed to streamline investigator and site access through harmonized delivery of content and services. The Portal will offer a central point of access and single sign on for investigators and site staff. ☐ Risk Based Monitoring Develop an industry-wide standard and approach for risk-based monitoring of clinical trials in order to enhance patient safety and ensure the quality of clinical trial data. ☐ Clinical Data Standards Partnership with the Clinical Standards Data Interchange Consortium to develop industry-wide data Standards in priority therapeutic areas to support the exchange and submission of clinical research and meta-data, improving patient safety and outcomes. ☐ Site Qualification & Training Agreements established for mutual recognition of Good Clinical Practice training and site qualification credentials in order to realize efficiencies and accelerate study start-up timelines. ☐ Comparator Drug Supply Establish reliable, rapid sourcing of quality products for use in clinical trials through a comparator supply model enabling accelerated trial timelines and enhanced patient safety. ☐Common Protocol Templates Standardize the format of clinical protocols to ease interpretation & enable down-stream automation of many clinical processes. Develop industry-wide & regulator accepted standard for required protocol endpoints per therapeutic area. ☐Special Populations Investigator Network Lead the development of global investigator networks for pediatric and minority populations including governance, investigator and patient registries, and technical infrastructure. TransCelerate BioPharma Inc. Membership Application Page 3 of 3 ☐Investigator Registry Create a shared repository of investigator contact details, training/qualification assessment, and performance data across companies to support targeted site selection. Applicant Acknowledgment The Applicant acknowledges that the following terms and conditions apply to this Application and TransCelerate membership: The Application is subject to acceptance by the Board of Directors, including verification of the Applicant’s eligibility for membership in a particular class. Upon acceptance of the Application, the Applicant will become a TransCelerate member only upon (i) execution of the TransCelerate Membership Agreement (copy attached) and (ii) payment of initial and annual dues. The Applicant agrees to be bound by the terms of the TransCelerate Articles of Incorporation, Bylaws and the policies which the TransCelerate Board of Directors may, from time to time, adopt. Signature of Applicant’s Authorized Representative _________________________________ Name:____________________________ Title:_____________________________ Date:_____________________________ Please submit the completed application to Sarah Plush, sarah.plush@transceleratebiopharmainc.com.