ONLINE NOMINATION FORM Online nomination Has Opened [] 1 NOMINATION FORM (Kindly tick only ONE sub- category and Attach additional sheets / informationwherever required)Nomination is on-going and closes on May 24th 2019. NameFull Name of Nominator Telephone Number: Emaila valid email AWARD CATEGORIES (Kindly tick only ONE sub- category and Attach additional sheets / informationwherever required) A. SPECIAL AWARDSLifetime Achievement Award Outstanding CSR Health Project of the yearHealthcare Media Excellence Award-PrintHealthcare Media Excellence Award-OnlineOutstanding Healthcare Project Friendly Bank of the YearOutstanding Healthcare SME Friendly Bank of the YearHealthcare Media Excellence Award- BroadcastSpecial Recognition AwardOutstanding State Government Healthcare Programme of the Year OR B. HEALTHCARE DELIVERY SERVICESPrivate Healthcare Provider of the yearPrivate Laboratory Service Provider of the yearRadiology Service Provider of the yearHealth Maintenance Organization of the yearPharmAccess Innovative Healthcare Service Provider of the yearPhysiotherapy Service Provider of the yearIVF Service Provider of the YearDialysis Service Provider of the yearEye Care Service Provider of the yearDental Service Provider of the yearNursing and midwifery Excellence AwardsTertiary Healthcare Provider of the yearHealthcare Information Technology Provider of the yearSafeCare Facility of the Year OR C. BIOMEDICAL TECHNOLOGYBiomedical Engineering Service Company of the YearLaboratory Equipment Marketing Company of the YearHospital Equipment Marketing Company of the year OR D.PHARMACEUTICALSPharmaceutical Retail Outlet of the YearPharmaceutical Manufacturing Company of the yearPharmaceutical Distribution Outlet of the Year Technology-Driven Pharmaceutical Distributor of the Year DETAILS OF NOMINEE Full Name(Individual or Organization) Designation Postal Address Telephone Mobile Emails Website 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 0 / Submit Form Previous Next
