Registration
(* All fields are compulsory to be filed)

* Name of participating entity
Invoice will be raised on this name


* Address of participating entity
Invoice will be raised on this address

 

* Number of city(s) with presence for participating entity

* Type of Organization

Private Sector     Public Sector / NGO / Trust / Start-Ups
* Contact person for participating entity  
Name:
Designation:
Email:
Phone:
Mobile:
Website:

* Year of incorporation (in dd/mm/yyyy) for participating entity

* Revenue (Rs. in crores) for participating entity

Less than 25     25-100     101-250     More than 250    
GST No.
Provided GST No. should be issued at given mailing address for invoicing purpose
Yes (If Yes please provide no.) No        

* Name of Corporate or Group, Parent company or Trust

If part of a Corporate or Group or Parent company or Trust to which the participating entity belongs

* Please select one applicable

  • Public Hospital
  • Private Hospital
  • Primary Health Centre
  • Insurance Company
  • Diagnostic Centre
  • Healthcare Start Ups
  • Healthcare Service Providers
  • NGOs/Trust/Not for Profit
  • Medical Technology/Devices Companies
  • Healthcare research institutes
  • Corporate (Non Healthcare Organization)
* EmailID:
EmailID will be treated as Username
* Password:
* Secret Answer:
Help in retrieval of forgot password