Health Financing Brand
This award recognizes a brand or an organization that mobilizes and pools financial resources and allocates them to health care providers in an equitable and efficient way in order to enable provision of essential health services of good quality to all, especially to the poorer communities, and in populations in rural areas.


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. 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's USP? (~200 words) *
(Answers should be drafted with consideration to the scope of award category)
7. How does your organization fulfill the objectives of being a health financing brand (~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.)
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
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