Award Nomination Form
Healthcare Innovation Awards 2020
Elets Technomedia Pvt. Ltd.
Stellar IT Park
7A/7B, 5th floor, Annexe Tower
C-25, Sector 62, Noida
Uttar Pradesh 201301
Contact us for Award Nomination:
Vikram Singh, +91-90132-15496, firstname.lastname@example.org
Neha Pal, +91-95601-26763, email@example.com
1. For Online Payment :
2. Before filling the award nomination form you need to have the scanned copy of below listed documents.
a) Authorisation Certificate. (click here to download)
3. Award Nomination Fee