Nomination Form

Fill Nomination Form

For Which Award Form To Be Filled Want to

Healthcare Awards Category

Women Empowerment Category

Education Awards Category

Choose Your Category

Dental Awards Category

Other Category

Select your Registration type Nominee Name

Organization/Clinic/Hospital Name Name of Organization Head

Organization Head Designation Organization Head Email

Organization Head Mobile Contact Person Name

Contact Person’s Designation Contact Person’s Mobile

Contact Person Email WebSite

Turnover for Last Financial Year (in digit) Street Address

City State/Province ZIP/Postal Code

Year of Inception (How do you come to know about Global Healthcare Excellence Awards)

Year of Inception (How do you come to know about India Excellence Awards)

Year of Inception (How do you come to know about Global Icon Awards)

Year of Inception (How do you come to know about Global Education Awards)

Year of Inception (How do you come to know about Business Leadership Awards)

Year of Inception (How do you come to know about National Dental Awards)

Year of Inception (How do you come to know about Women Empowerment Awards)

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Remarks

Terms & ConditionsBy filling and submitting the nomination form, I declare that I have read and understood the Application, Selection process and the Terms & Conditions of the related awards. I hereby agree and accept the same. I further declare that information provided in the nomination form is true to the best of my knowledge and belief.