Name of Company*
Name of Contact Person*
Email Address*
Mobile Number*
Address of Company*
Company Website
Award Category*
—Please choose an option—Health Brand of the Year – AirHealth Brand of the Year – FoodHealth Brand of the Year – WaterHealth Brand of the Year – HealthcareEmerging Healthcare Brand of the YearPublic Health Initiative of the YearHealth Start-up of the YearHealth Innovation of the YearHealth Entrepreneur of the YearHealth Icon of the YearWellness Brand of the YearWellness Entrepreneur of the Year
Award Entry Ticket No. (Optional)
Give a brief description of your organization / yourself (in the case of individual awards) *max 200 words*
What is the unique proposition that your Brand / Product / Initiative / Organisation offers? (This section should explain what is being submitted for consideration. We look for new solutions or an older solution implemented in a new way to achieve your objective) *max 200 words*
What is the impact that this has had across the last one year (1 April 2016- 31 August 2017)? *max 200 words (You could also provide details of any awards or certifications your product / initiative has obtained in the last few months)*
Describe the potential of your Brand/Organisation/Product/Initiative in terms of its replicability and scalability that ensures a far-reaching effect? (*max 200 words)*
Kindly send the supporting documents to [email protected] (Size Limit: 10 MB, PDF only). Please mention your Category & Organisation Name in the Subject Line.
