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 Nominatorno-icon Telephone Number:no-icon Emaila valid emailemail 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-OnlineHealthcare Friendly Financial Institution 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 year DETAILS OR NOMINEE Full Name(Individual or Organization)no-icon Designationno-icon Postal Addressno-icon Telephoneno-icon Mobileno-icon Emailsemail Websiteno-icon REASON(S) FOR NOMINATION: Please describe your experience, uniqueness / novelty of the facility or service provider and the reasons for your nominations 0 / Submit Form Previous Next FormCraft - WordPress form builder
