The Online nomination Form

1
NOMINATION FORM



(Kindly tick only ONE sub- category and Attach additional sheets / information
wherever required)

Nomination is on-going 
 



AWARD CATEGORIES

(Kindly tick only ONE sub- category and Attach additional sheets / information
wherever required)

A. SPECIAL RECOGNITION AWARDS

OR

B. SPECIAL AWARDS

OR

C. HEALTHCARE DELIVERY SERVICES

OR

D. BIOMEDICAL TECHNOLOGY

OR




E. PHARMACEUTICALS
DETAILS OF NOMINEE

REASON(S) FOR NOMINATION: Please describe your experience, uniqueness / novelty of the facility or service provider or contribution of nominee and the reason(s) for your nomination. expce

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