17th Elets Healthcare Innovation Summit & Awards
Nomination Fee
Early Bird Fee: ₹30,000 + GST (per category) – applicable till 12th October 2025
Note: GST 18% + (Online Bank Transfer Charges + Transfer GST charges) @ 2% = 20%
Select Category
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Select Category
Special Categories
Special Leadership
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Full Name
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Designation / Title
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Organization / Hospital / Institution
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Department / Specialty
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Years of Experience
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Professional Email
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Phone Number
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Speciality/Field of Work
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LinkedIn Profile (optional)
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Section 2: Achievements & Contributions
Brief Biography
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/500 words
Key Achievements & Impact in Healthcare
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/500 words
Innovation / Initiative Undertaken
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/500 words
Awards, Recognitions, or Publications (if any)
Section 3: Nomination Submitted By
Your Name
Designation / Role
Organization / Institution
Email
Phone Number
Relationship to Nominee
Supporting Documents
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(Maximum file size 2 MB in pdf or doc format)
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