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Emergency Contact and Medical Form Onboarding Form - Techscaler UAE - 2026

Please complete this form by 12 noon, Monday, 15 December (UK time). Your answers to this form can only be accessed by the following CodeBase Team Members, to ensure the delivery of the programme:
- Anaïs Guillemaud, Head of Scaleup Acceleration Programmes
- Sally Dale, Programme Manager
- Jennifer Forbes Iannolo, VP of Business Acceleration Programmes
- Jessica McClure, Programme Coordinator
- Debbie Baird, IT Manager
- Accompanying Programme Manager(s)
The answers you submit in this form will be collected via Tally and stored on Google Drive and deleted by 30th June 2026, following the completion of the Techscaler United Arab Emirates Market Engagement Mission.

Your full name

Your email address

Your phone number.

Do you have any medical and/or accessibility information you'd like us to know?

Your emergency contact's name

Your emergency contact's relationship to you

Your emergency contact's phone number.

Is there anything else we should know about your emergency contact?