Sponsorship Request

Thank you for considering National Health Insurance Company - Daman as a potential partner for your event. Kindly complete and submit the sponsorship request form below :
Note :All requests should be submitted at least 90 days prior to the event.
( * Mandatory Fields)
(E.g., Pharmacy)
(E.g., 971507900000)
(E.g., 971-20-6145555)
( * Mandatory Fields)
(E.g., National Seminar on Tuberculosis)
Country
City
Venue
   (E.g., To spread awareness on importance of Healthcare)
You have entered 000  of 200 characters
You have entered
000
 of 500 characters
Start Date
End Date
(E.g., Doctors, Physiotherapists etc.)
(E.g., 500)
( * Mandatory Fields)
Package1 Package2 Package3 Package4 Package5
Sponsorship Package Categories*
Benefits of Package *
Amount Requested in AED *
Confirmed Sponsors and their packages
Sponsor Name Package
Upload supportive documents
  (Overall size of all files should not exceed 3 MB (3072 KB))