Part D : Assistance Sought from Helpdesk
                        On behalf of the organisation/company* in Part A, I request the Helpdesk to relay our trial request to the following organisation(s)#.  I understand that the referral of the trial request does not in any way imply eligibility or support for PSTS funding.
                        #Please specify up to two organisations as shown at Annex
                        
                        
                        Established Contact in the Trial Organisation (if available)
                        
                        
                        
                        
                        
                        
                        
                        
                        
                        Established Contact in the Trial Organisation (if available)