Emerging Healthcare Delivery Brand
This award recognizes an emerging, new brand that has contributed towards health by successfully providing healthcare and related services and/or products. The brand may belong to hospitals, diagnostics, devices, or pharmaceutical space. Brands may be emerging on the parameters that include, but are not limited to, operational size and duration, market share, expansion, and customer base.

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

1. Organization’s Name and Brief Profile *
(Please provide the complete name and brief profile of the organisation)
2. Brand/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 Brand/Organization *
(Number of years the brand/organization has been in public domain)
4. Accreditation/certifications/awards received by your brand/organization, if any? *
5. Customer/Consumer Base? *
6. What is your brand/organization USP? (~200 words) *
(Answers should be drafted with consideration to the scope of award category)
7. How does your brand/organization fulfill the objectives of ensuring healthcare delivery (~200 words) *
(Answers should be drafted with consideration to the scope of award category)
8. Please quantify the impact of the brand/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.)
Required
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.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of India Health & Wellness Summit and Awards. - Terms of Service - Additional Terms