Home Healthcare Brand
This award recognizes a brand or an organization that provides a variety of services to patients that are in need of special care in their homes. The range of activities can include medical care, personal care , nursing care , therapies, basic assistance care, and others.

(For Awards Entry Process Guidelines and Terms & Conditions, please visit: http://indiahealthsummit.com/how-to-apply/)

1. Organization’s Name *
(Please provide the complete name of the organisation)
2. Organization Name *
(Please provide the correct name as you would like it to appear in the award trophy in case you are declared a winner)
3. Age of the Organization *
(Number of years the organization has been in public domain)
4. Accreditation/certifications/Awards received by your organization, if any? *
5. Customer/Consumer Base? *
6. What is your organization USP? (~200 words) *
(Answers should be drafted with consideration to the scope of award category)
7. How does your organization fulfill the objectives of ensuring healthcare delivery at home (~200 words) *
(Answers should be drafted with consideration to the scope of award category)
8. Please quantify the impact of the Organization (~200 words) *
(Answers should be drafted with consideration to the award category. Impact can be quantified as per industry parameters and may include: efficiency of product/service delivery, performance measures, impact scale, impacted population, etc).
9. Please attach supporting documents that validate the above claims. *
(Supporting documents can include: presentation, copies of certificates, accreditation, photograph, etc.)
10. Please select the supporting documents shared.
11. Please provide a link of a video to support the claims made in the above questions.
(Upload the video to YouTube. Keep the view settings as private. Share the link in the given space.)
12. Name of the Contact Person *
13. E-mail Address *
14. Mobile Number *
15. GSTN Number
(GSTN Number is mandatory for any for-profit business enterprise)
16. Disclaimer *
By checking "I Agree" and successfully applying to the India Health and Wellness Awards (IHW Awards), I confirm to have the assigned right to furnish the above details on behalf of the organization/brand. I also confirm to have furnished all above claims with complete honesty and to the best of my understanding. I have read the terms and conditions of IHW Awards and I agree to abide by them in letter and spirit.
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This form was created inside of India Health & Wellness Summit and Awards. - Terms of Service - Additional Terms