Nomination Online

Individual
Organisational

Individual

Select Category

Name ( Who will receive the Award)

Designation

Name of Organisation

Year of incorporation

Case taking in OPD/IPD per day (ForDoctor & Hospitals)

Specialty

Mobile No

Postal Address with Pin code

Products List/Services in case of company

User of your product/services name (10 Hospitals or Companies)

Address

Website URL

Name of the Director

Email ID of the Director

Mobile No. of the Director

Turn over year wise( Last 3 Consecutive )

Certification s if any( ISO, CE etc)

Any Awards Won

Other

Organisational