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Authorized Representative Details
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Organization
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Email Id
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Contact No
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Applicant/PoC Details
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Designation
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Organization
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Email Id
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City
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Contact No
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GST No
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GST No is required to be filled.
Pincode
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Address
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Award Category Applied For
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Excellence in Patient Safety
Excellence in Patient Care and Service Delivery
Excellence in Community Engagement
Technology Transformation initiative of the year
Training & Skill development initiative of the Year
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